Korean J Oral Maxillofac Radiol.  2000 Sep;30(3):217-222.

Ankylosing Spondylitis Associated With Bilateral TMJ Ankylosis

• Song JS
• Koh KJ

Abstract

A 31-year-old male with severe limitation of mouth opening was referred to our department of Chonbuk National University Hospital. The physical status of the patient was hyposthenic. Extraoral examination showed no condylar movement of the both temporomandibular joints, no pain, no faical swelling or paresthesia. Intraoral examination showed several cervical caries on the upper anterior teeth, and gingival swelling on the whole dentition. Transcranial view showed no condylar movement, and narrowing of joint spaces. Chest P-A view showed straightening of thoracic, lumbar spine, and squaring of vertebrae of the same spines. Conventional lateral radiograph of cervical spine showed calcification of the intervertebral ligament. Computed tomograph showed extensive bone formation between temporal bone and the both condylar heads. Labortory findings showed positive reaction on HLA-B27 histocompatibility antigen and increased level of IgA, IgG, ESR. Based on the clinical, radiographic, and the labortary findings, final diagnosis was made as bony ankylosis of the both temporomandibular joints secondary to ankylosing spondylitis.

Keyword

bony ankylosis; temporomandibular joint; ankylosing spondylitis

MeSH Terms

Adult
Ankylosis*
Dentition
Diagnosis
Head
Histocompatibility Antigens
HLA-B27 Antigen
Humans
Immunoglobulin A
Immunoglobulin G
Jeollabuk-do
Joints
Ligaments
Male
Mouth
Osteogenesis
Paresthesia
Root Caries
Spine
Spondylitis, Ankylosing*
Temporal Bone
Temporomandibular Joint*
Thorax
Tooth
HLA-B27 Antigen
Histocompatibility Antigens
Immunoglobulin A
Immunoglobulin G