FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 73-YEAR-OLD woman was evaluated for 4 months of pain in the left temporomandibular joint region. The pain was dull and aching and was referred to her ear and temporal scalp area. She denied any history of trauma to this region. The pain was not exacerbated by chewing. She also denied any history of dry mouth or dry eyes. Her medical history was otherwise unremarkable. On physical examination, the oral cavity and both ears were normal, and the oropharynx was symmetrical. Normal salivary flow was observed from the Stenson ducts. There were no masses palpated in the parotid glands or the neck. Facial nerve function was symmetrical. No scalp lesions were present.
Carron JD, Karakla DW, Silverberg M. Pathology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2002;128(11):1326. doi:10.1001/archotol.128.11.1326