Severe Bilateral Degenerative Temporomandibular Joint Disease with Erosion into the Middle Cranial Fossa: An Uncommon Etiology

Dolwick MF, Schlott BJ, McPherson TR and Holman MR

Department of Oral and Maxillofacial Surgery, University of Florida College of Dentistry, USA

^*Correspondance to: M. Franklin Dolwick 

 PDF  Full Text DOI: 10.25107/2474-1647.1083

Abstract

Erosion of the temporomandibular joint into the middle cranial fossa due to severe degenerative joint disease is an extremely rare occurrence. There have been multiple cases of the condyle being displaced into the middle cranial fossa as a result of trauma and pathology. The patient in this case report presented with erosive arthropathy of the bilateral temporomandibular joints with nearly complete loss of the condylar heads which were bilaterally displaced into the middle cranial fossa with dural thickening. Treatment options were complicated by partial edentulism and the potential for intracranial complications. The patient was reconstructed with bilateral TMJ Concepts prostheses using her dentures as a guide for establishing the appropriate vertical dimension.

Keywords

Middle cranial fossa; Joint disease

Cite the article

Dolwick MF, Schlott BJ, McPherson TR, Holman MR. Severe Bilateral Degenerative Temporomandibular Joint Disease with Erosion into the Middle Cranial Fossa: An Uncommon Etiology. Clin Surg. 2016; 1: 1083.