Imaging Sci Dent.  2024 Jun;54(2):201-206. 10.5624/isd.20230243.

Temporomandibular joint ankylosis suspected to be associated with ankylosing spondylitis based on cervical computed tomography images: A pictorial essay

• Kojima I
• Nogami S
• Hitachi S
• Shimada Y
• Ezoe Y
• Yokoyama-Sato Y
• Iikubo M

• KMID: 2557122
• DOI: http://doi.org/10.5624/isd.20230243

Abstract

This report showed a case of temporomandibular joint (TMJ) ankylosis suspected to be associated with ankylosing spondylitis based on the observation of bony ankylosis of the cervical spine on computed tomography (CT) images. A 53-year-old man presented with a chief complaint of difficulty in opening his mouth. His medical history indicated that in his 20 s, he became aware of the difficulty in moving his neck. CT revealed marked osteoarthritic changes in the right mandibular condyle, suggesting fibrotic TMJ ankylosis. In addition, bony ankylosis of the cervical vertebral body and facet joints from the axis (C2) to C5 in continuity was observed. CT of the entire spine also showed bony deformity of the sacroiliac joints and bony ankylosis. Based on these findings, ankylosing spondylitis was suspected. The possibility of an ankylosing spondylitis complication should be considered in cases of TMJ ankylosis if bony ankylosis of the cervical spine is observed.

Keyword

Spondylitis, Ankylosing; Temporomandibular Joint; Computed Tomography, X-Ray