Craniomaxillofacial Reconstructive Surgery Track: The Scapular Spine as an Option for Autogenous TMJ Fossa Reconstruction: A Case Report

A 50-year-old female with a longstanding history of bilateral TMJ arthritis was diagnosed with a large enhancing mass centered in her right glenoid fossa with extension into the middle cranial fossa and infratemporal fossa. She underwent excision of the mass via a trans zygomatic/pterional approach without reconstruction. The lesion was diagnosed as synovial condromatosis. Postoperatively she developed a severe asymmetric open bite that was related to the loss of her glenoid fossa.