Departmental Papers (Dental)

Document Type

Journal Article

Date of this Version

12-20-2016

Publication Source

Imaging Science in Dentistry

Volume

46

Issue

4

Start Page

285

Last Page

290

DOI

10.5624/isd.2016.46.4.285

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.

Copyright/Permission Statement

Copyright ⓒ 2016 by Korean Academy of Oral and Maxillofacial Radiology This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Keywords

Magnetic Resonance Imaging, Oropharyngeal Neoplasms, Human Papillomavirus 16, Facial Pain

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Date Posted: 10 August 2018

This document has been peer reviewed.