Pearls on resecting the TMJ chondrosarcoma: how i do it.

BACKGROUND

Chondrosarcoma of the head and neck is uncommon and Chondrosarcoma of the Temporomandibular Joint is exceedingly rare. We present a 67-year-old male with a large right TMJ Chondrosarcoma.

METHODS

Patient underwent right segmental mandibulectomy with excision of TMJ tumor, lateral temporal bone resection and right infratemporal fossa resection with Vastus Lateralis flap reconstruction of facial defect. Steps and technical considerations are presented in the video attached.

CONCLUSION

This case and video illustration show the technical feasibility of complete resection of Chondrosarcoma of the TMJ while preserving function of critical structures most importantly the ophthalmic branch of the facial nerve.