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  Contents > Previous page > Article detail print Order
o Issue N# 3 - 2011 o

OTOLOGY MAXILLO FACIAL

Chondrocalcinosis of the temporomandibular joint revealed by a hearing loss: a case report


Authors : Guille J, De Mones Del Pujol E, Bonnard D, Darrouzet V, Franco-Vidal V. (Bordeaux)

Ref. : Rev Laryngol Otol Rhinol. 2011;132,3:167-172.

Article published in french
Downloadable PDF document french



Summary : Introduction: Chondrocalcinosis is a microcrystalline arthropathy that principally affects the knee. It is a rare disor­der, usually asymp­to­matic, that occurs mainly in the elderly people. Purpose: To report a case of a temporomandibular joint chondro­calcinosis with ossicular contact revealed by a conductive hearing loss. Case report: We describe the case of a 57-year-old man with a right conductive sudden hearing loss of 15 dB. The CT scan revealed a lytic lesion in the right attic extended to the middle cerebral fossa in contact with the ossi­cles with a suspicion of lysis of the head of the malleus. MRI showed a lesion enhan­cing after gadolinium injection on T1 weighted images. A biopsy revealed a chondrocalcinosis of the temporo­mandibu­lar joint. Due to the complexity of surgical excision and the benin character of the lesion, a medical treat­ment and a radiologic follow-up every six months were propo­sed. Conclusion: Chondrocalcinosis of the temporo-mandibu­lar joint is rare especially when it is revealed by a hearing loss. We present here a review of the literature.

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