Incidental finding of an extensive oropharyngeal mass in magnetic resonance imaging of a patient with temporomandibular disorder: A case report.
10.5624/isd.2016.46.4.285
- Author:
Temitope T OMOLEHINWA
1
;
Mel MUPPARAPU
;
Sunday O AKINTOYE
Author Information
1. Department of Oral Medicine, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA. akintoye@upenn.edu
- Publication Type:Case Report
- Keywords:
Magnetic Resonance Imaging;
Oropharyngeal Neoplasms;
Human Papillomavirus 16;
Facial Pain
- MeSH:
Biopsy;
Carcinoma, Squamous Cell;
Earache;
Estrogens, Conjugated (USP);
Facial Pain;
Headache;
Human papillomavirus 16;
Humans;
Incidental Findings*;
Magnetic Resonance Imaging*;
Mandible;
Mouth;
Oropharyngeal Neoplasms;
Oropharynx;
Papillomaviridae;
Skull Base;
Temporomandibular Joint Disorders*;
Trismus
- From:Imaging Science in Dentistry
2016;46(4):285-290
- CountryRepublic of Korea
- Language:English
-
Abstract:
In this report, we describe the incidental finding of an oropharyngeal mass in a patient who presented with a chief complaint of temporomandibular pain. The patient was initially evaluated by an otorhinolaryngologist for complaints of headaches, earache, and sinus congestion. Due to worsening headaches and trismus, he was further referred for the management of temporomandibular disorder. The clinical evaluation was uneventful except for limited mouth opening (trismus). An advanced radiological evaluation using magnetic resonance imaging revealed a mass in the nasopharyngeal/oropharyngeal region. The mass occupied the masticatory space and extended superioinferiorly from the skull base to the mandible. A diagnostic biopsy of the lesion revealed a long-standing human papilloma virus (HPV-16)-positive squamous cell carcinoma of the oropharynx. This case illustrates the need for the timely radiological evaluation of seemingly innocuous orofacial pain.
