ABSTRACT
Introduction: This report investigates late-stage internal derangement (ID) of the temporomandibular joint (TMJ) with the aim of establishing a more effective and personalized treatment protocol to improve patients' quality of life (QoL). Material and methods: A consensus was reached among maxillofacial surgeons specializing in LSID, based on a literature research and collective expert experience following the Delphi method. Consensus was considered to be achieved when a response received at least 80% of votes. Results: Four expert groups were established, respectively, focusing on diagnosis, minimally invasive surgery (MIS), open surgery and joint replacement. A comprehensive approach to late-stage ID of the TMJ requires a consensus report. This underscores the need for a personalized treatment plan, considering the variability in clinical presentations and progression of this pathology. Our recommendations aim to optimize clinical outcomes and enhance patient QoL.
ABSTRACT
Los osteomas constituyen un grupo de tumores óseos benignos que se localizan habitualmente en el cráneo y los huesos de la región facial, siendo rara su presencia en los tejidos blandos de la cavidad oral. También se les conoce como coristomas óseos, ya que están compuestos por tejido óseo maduro de aspecto normal. En la cavidad oral, la localización más frecuente es el tercio posterior de la lengua y suele aparecer en mujeres con edades comprendidas entre la segunda y tercera década de vida. A pesar de que la mayoría de los pacientes presentan un curso asintomático, no es infrecuente que su motivo de consulta sea la sensación de cuerpo extraño y disfagia. Afortunadamente, los osteomas linguales tienen buen pronóstico, ya que una vez realizada la extirpación no hay descritos casos de recurrencia. Debido a su insólita presentación, con menos de 100 casos publicados en la literatura, se decide presentar este caso clínico. (AU)
Osteomas are rare benign tumors that can be located on the craniomaxillofacial skeleton, being unusual its presence in the soft tissues of the oral cavity. They are also known as osseous choristomas, as they consist of normal matured bone tissue. Osteomas of the tongue occur more frequently in women in their second or third decade and the most frequent location in the oral cavity is the posterior third of the tongue. Most patients are asymptomatic, though other forms of presentation could be complaining of the sensation of having a foreign body or, even, dysphagia. The fact that less than 100 cases have been reported in the literature, has motivated the presentation of this clinical case. (AU)
