Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Adenoid Cystic Carcinoma on the Left Maxillary Sinus Showed Symptoms Analogous to Temporomandibular Disorder

  • Lee, Sunhee (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
  • Park, Yang Mi (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
  • Heo, Jun-Young (Department of Oral Medicine, Pusan National University Dental Hospital, Dental Research Institute) ;
  • Jeong, Sung-Hee (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
  • Ahn, Yong-Woo (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
  • Ok, Soo-Min (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute)
  • Received : 2016.02.15
  • Accepted : 2016.03.09
  • Published : 2016.03.30
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Abstract

Malignant tumors located in the head and neck areas intermittently show symptoms similar to a temporomandibular disorder (TMD). In our case, a patient who first visited us complaining of TMD-like symptoms, such as trismus and temporomandibular joint (TMJ) pain on the left side, was identified as a sufferer of adenoid cystic carcinoma (ACC) that arose from the left maxillary sinus. The patient may have a TMD symptom, but we are skeptical because the patient also complained of a spontaneously developed numbness on the same side of his upper lip. We observed the panoramic radiograph closely and found the blurred maxillary sinus inferior wall. Dental cone-beam computed tomography confirmed the tentative diagnosis of malignancy on the maxillary sinus. After he had been referred to the Department of Otolaryngology, the diagnosis of the ACC was confirmed. Adequate diagnosis is vital for a quick treatment of the malignancy. There are some keys for differential diagnosis of TMD-like symptoms.

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References

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