PMC5325521_01
Mild preauricular swelling on the right side
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The clinical examination revealed mild pre-auricular swelling on the right side (Figure 1) and reduced, painful mouth opening (10 mm) (Figure 2).
Maximum mouth opening of 10 mm
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The clinical examination revealed mild pre-auricular swelling on the right side (Figure 1) and reduced, painful mouth opening (10 mm) (Figure 2).
Orthopantomogram showing pinching space of the right TMJ
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Orthopantomography has showed pinching space of the right TMJ (Figure 3).
A) CT scan revealing osteolysis of the right mandibular condyle; B) two abscesses in the right infratemporal fossa
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A computed tomography (CT) scan has objectified osteolysis of the right mandibular condyle and showed a diffuse soft-tissue swelling involving the pre-auricular region with two abscesses in the right infra-temporal fossa (Figure 4).
Peroperative view showing abcesses (arrow)
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A resection of the lytic condyle, drainage of abcesses and extensive washing of the joint cavity were performed (Figure 5).
A) CT scan, 1 year later, showing osteolysis of the left condyle; B) without reactivation in the other side and abcesses in soft tissue
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CT scan showed a necrosis of left mandibular condyle and abscesses in infra-temporal fossa with no reactivation of the other side (Figure 6).