| Date | Summary from Initial and Subsequent Visits | Diagnostic Assessment | Therapeutic Interventions |
| February 2016 to March 2016 |
➢ First seen in February 2016. ➢ Chief complaint was that of chronic right TMJ pain and hard swelling over right pre-auricular region. ➢ On examination, the swelling measured 15x20mm. It did not move with the mandibular condyle on maximal mouth opening. ➢ Provisional diagnosis was that of Tumoral Calcinosis associated with the right TMJ. |
➢ Blood tests including liver function test, renal function test and complete blood count were normal. ➢ Dental pantomogram was taken, but no distinct lesion was observed. ➢ Computed Tomography taken revealed a well-defined hyper-dense mass at the right pre-auricular region. |
➢ Surgical excision of the calcified mass was performed in March 2016. ➢ Histological examination confirmed diagnosis of tumoral calcinosis (TC). |
| April 2016 to July 2016 |
Post-operative reviews: ➢ Pain at the right pre-auricular region was resolved. ➢ TMJ function was normal. |
➢ The baseline serum calcium and phosphate levels were normal. | ➢ Nil |
| September 2017 |
Final review: ➢ No clinical recurrence was noted. ➢ TMJ function was normal ➢ Patient subsequently defaulted on further follow-up appointments. |
➢ Serum calcium and serum phosphate were tested and were normal. ➢ Patient belonged to the Normophosphatemic TC sub-type (Smack et al [3]). |
➢ Nil |