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February 1996


Arch Otolaryngol Head Neck Surg. 1996;122(2):194-198. doi:10.1001/archotol.1996.01890140078015

Pathologic Quiz Case 1  Steven Shapiro, MD; Stephen Kessler, MD; Sean O. McMenomey, MD; Portland, OreAn otherwise healthy 36-year-old white man presented to his family doctor with complaints of right ear hearing loss and a clicking sensation in the right temporomandibular area. The patient was referred to an otolaryngologist, and the initial physical examination revealed right-sided findings including a conductive hearing loss, a slightly tender right temporomandibular joint (TMJ), and a serous otitis media. A polyethylene tube was placed uneventfully to remedy the otitis and the hearing loss. No other abnormality was noted at this time. On subsequent examination, which was prompted by the patient's continued complaints of TMJ pain, a fixed, nontender, firm mass was noted in the right temporal region. The findings of the rest of the physical examination were unremarkable.Magnetic resonance imaging studies demonstrated the presence of a mass centered on the right TMJ