Abstract
Background
Chondrosarcoma of the head and neck is uncommon and Chondrosarcoma of the Temporomandibular Joint is exceedingly rare. We present a 67-year-old male with a large right TMJ Chondrosarcoma.
Methods
Patient underwent right segmental mandibulectomy with excision of TMJ tumor, lateral temporal bone resection and right infratemporal fossa resection with Vastus Lateralis flap reconstruction of facial defect. Steps and technical considerations are presented in the video attached.
Conclusion
This case and video illustration show the technical feasibility of complete resection of Chondrosarcoma of the TMJ while preserving function of critical structures most importantly the ophthalmic branch of the facial nerve.
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References
Schajowicz F (1993) Histological typing of bone tumors. Springer, Berlin, p 128
Coca-Pelaz A, Rodrigo JP, Triantafyllou A et al (2014) Chondrosarcomas of the head and neck. Eur Arch Otorhinolaryngol 271:2601–2609
Koch BB, Karnell LH, Hoffman HT et al (2000) National cancer database report on Chondrosarcoma of the head and neck. Head Neck 22:408–425
Huvos AG (1991) Bone tumors: diagnosis, treatment, and prognosis, 2nd edn. WB Saunders, Philadelphia, pp 343–346
Death and Life Expectancy, Department of Statistics, Singapore, viewed 30 August 2020. https://www.singstat.gov.sg/find-data/search-by-theme/population/death-and-life-expectancy/latest-data
Fisch U (1978) Infratemporal fossa approach to tumours of the temporal bone and base of the skull. J Laryngol Otol 92(11):949–967
Nomura F, Kishimoto S (2014) Synovial sarcoma of the temporomandibular joint and infratemporal fossa. Auris Nasus Larynx 41(6):572–575
Jackson NM, Wilson MN, Nuss DW (2018) Surgical approaches to the infratemporal fossa. In: Myers E, Snyderman C (eds) Operative otolaryngology-head and neck surgery, 3rd edn. Elsevier, Amsterdam, pp 809–819
NCCN Clinical Practice Guidelines in Oncology 2020, National Comprehensive Cancer Network, viewed 30 August 2020. https://www.nccn.org/professionals/physician_gls/default.aspx
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Chia, Z.J., Gan, Y.J. & Lim, M.Y. Pearls on resecting the TMJ chondrosarcoma: how i do it. Eur Arch Otorhinolaryngol 278, 289–293 (2021). https://doi.org/10.1007/s00405-020-06386-w
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DOI: https://doi.org/10.1007/s00405-020-06386-w