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Treatment of tophaceous pseudogout in the temporomandibular joint with resection and alloplastic reconstruction: a single-staged approach

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Abstract

Tophaceous pseudogout is a rare variant of the calcium pyrophosphate dihydrate (CPPD) disorder, with predilection for the TMJ. It is characterized by calcific deposits composed of rhomboid- or rectangular-shaped crystals that exhibit birefringence when examined under polarized light. We hereby present a case of a 65-year-old man with left pre-auricular tenderness and malocclusion. CT imaging was notable for a left TMJ mineralized mass with erosion of the condylar head. Treatment involved excision of the mass with eminectomy, condylectomy, and a stock total TMJ reconstruction. In this report, important considerations for diagnosis, biopsy, and surgical treatment with emphasis on reconstruction for tophaceous pseudogout of the TMJ have been highlighted by the authors.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Boston Medical Center, Boston, MA, 02118, USA

    Rushil R. Dang, Radhika Chigurupati & Andrew Henry

  2. Division of Oral and Maxillofacial Pathology, Boston University Henry M. Goldman School of Dental Medicine, 635 Albany Street, Boston, MA, 02118, USA

    Vikki Noonan

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  1. Rushil R. Dang
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  2. Vikki Noonan
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  3. Radhika Chigurupati
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  4. Andrew Henry
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Correspondence to Rushil R. Dang.

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Dang, R.R., Noonan, V., Chigurupati, R. et al. Treatment of tophaceous pseudogout in the temporomandibular joint with resection and alloplastic reconstruction: a single-staged approach. Oral Maxillofac Surg 26, 505–509 (2022). https://doi.org/10.1007/s10006-021-01013-2

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  • DOI: https://doi.org/10.1007/s10006-021-01013-2

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