Kv Arunkumar, Awana Kajal, Sharma Shubham, Iyer Vidya, Gupta Amit
Oral and Maxillofacial Surgery, I.T.S. Centre for Dental Studies and Research, Ghaziabad, IND.
Cureus. 2024 Jul 21;16(7):e65040. doi: 10.7759/cureus.65040. eCollection 2024 Jul.
Facial pain is a common but complex complaint, frequently associated with dental issues or temporomandibular disorder (TMD). However, rare aetiologies can complicate conventional diagnoses and treatment approaches. We present a case of a 36-year-old male with persistent jaw pain and restricted mandibular movement, initially managed as a typical TMD case. Conventional treatments yielded no improvement, prompting advanced imaging, which identified an unusual mass within the lateral pterygoid muscle. A surgical excision of the mass was performed, and histopathological examination revealed a rare and unexpected diagnosis. This case highlights the importance of considering uncommon conditions in the differential diagnosis of TMD and facial pain to ensure timely and appropriate therapeutic interventions.
面部疼痛是一种常见但复杂的症状,常与牙齿问题或颞下颌关节紊乱症(TMD)相关。然而,罕见的病因可能会使传统的诊断和治疗方法变得复杂。我们报告一例36岁男性,患有持续性颌部疼痛和下颌运动受限,最初被当作典型的TMD病例进行处理。传统治疗未见改善,于是进行了高级影像学检查,结果发现翼外肌内有一个异常肿块。对该肿块进行了手术切除,组织病理学检查揭示了一个罕见且意外的诊断结果。该病例强调了在TMD和面部疼痛的鉴别诊断中考虑罕见病症的重要性,以确保及时且恰当的治疗干预。