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A CASE OF SEVERE ANKYLOSIS OF TEMPOROMANDIBULAR JOINT FROM NEW KINGDOM NECROPOLIS (SAQQARA, EGYPT)

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HORÁČKOVÁ Ladislava RÜHLI Frank

Rok publikování 2014
Druh Článek ve sborníku
Konference Palaeopathology in Egypt and Nubia
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Obor Archeologie, antropologie, etnologie
Klíčová slova Egypt; New Kingdom necropolis; Paleopathology;Ankylosis; Temporomandibular joint
Popis One of the rare paleopathological findings discovered at the New Kingdom necropolis at Saqqara (during the 2007 season) was case of unilateral ankylosis of the temporomandibular joint (TMJ). Human skeletal remains discovered here by the international expedition organised by Rijksmuseum of Leiden came from excavations in the three chapels of Ptahemwia (‘Royal Butler, Clean of Hands' during the reigns of the pharaohs Akhenaten and Tutankhamun /1353-1323 BC/). Precise dating of the studied skeleton is nevertheless difficult because remains from the chapels found most superficially were secondary burial sites. The mandible of a 16-17 year old individual with a severely deformed head of the left condylar process, a sequential deformation of the mandibular fossa of the temporal bone and an asymmetry of the entire mandible is one of the most interesting finds that came from the north chapel of Ptahemwia. The right mandibular head was also stricken with a degenerative process, due to a changed chewing mechanism apparently, since the handicapped individual loaded less the impaired temporo-mandibular joint and overloaded thus the relatively healthy side. Ankylosis of the TMJ is most commonly associated with trauma, local or systemic infection, or systemic disease. In this article the authors discuss the anatomical particularity of the mandibular condylar process in relation to a trauma of this area and offer a detailed differential diagnostics.

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