Szabolcs Gyulai-Gaál

Tophaceous gout of the temporomandibular joint: a report of 2 cases.

its overwhelming functional importance, the exist-ing information in the literature, and our experi-ence with this case, we believe that the manage-ment protocol should be individualized based onthe presentation and course of the disease. Conser-vative management, under watchful eyes, may beattempted in those presenting early with a benigncourse. However, it would be prudent to maintaina low threshold for converting to aggressive surgi-cal management should the disease intensify, withextension and systemic involvement, despite aptmedical management.