Sarcoidosis of the mandibular condyle manifesting as a temporomandibular joint arthrosis: A rare case report

Abstract

Bone sarcoidosis is uncommon, and involvement of the temporomandibular joint is exceptionally rare. We report an unusual case of mandibular condyle sarcoidosis in a 51‐year‐old Japanese woman that manifested as a temporomandibular joint arthritis. The patient was referred for a chief complaint of a painful temporomandibular joint and was initially diagnosed with temporomandibular joint arthritis. However, a more detailed examination revealed bone sarcoidosis in the mandibular condyle and the progression of preexisting cardiac sarcoidosis. Oral steroid treatment (tapered from 50 mg/day to 5 mg/day) appears to have been successful over a 1‐year follow‐up.

Trismus intra‐operative release and expansion (TIRE): A novel operative treatment for trismus

“…For these patients, treatment of trismus should first target the primary disease, for example with oncologic therapy or anti-inflammatory treatments. 25 Coronoidectomy has been described for treating trismus in patients with head and neck cancer with mean IID improvements of 21.8 mm at 12 months. 23 These results are more sustained and more impressive than the results seen in our study of TIRE.…”

“…Patients with direct tumor extension into the temporomandibular joint or muscles of mastication, or patients that have trismus unrelated to fibrosis, are much less likely to benefit from stretching of affected tissue. For these patients, treatment of trismus should first target the primary disease, for example with oncologic therapy or anti‐inflammatory treatments 25 . Coronoidectomy has been described for treating trismus in patients with head and neck cancer with mean IID improvements of 21.8 mm at 12 months 23 .…”