Pleomorphic adenoma (PA) is the most common neoplasm of the large salivary glands. It derives its name from the architectural pleomorphism seen by light microscopy. It is also known as the mixed tumor salivary type, which describes its pleomorphic appearance as opposed to its dual origin from epithelial and myoepithelial elements. We present a case of an adult who presented with a palatal swelling, which computed tomography (CT) scan showed to be “intrabony” but after considering other planes of the CT scan It was finally considered to be an intrabony extension of the palatal PA. The mass was successfully removed and the residual palatal defect left to granulate. Following 2 years of patient follow-up, there was no recurrence but the presence of a oronasal defect about 1 cm in diameter in the palate.

The Temporomandibular Joint (TMJ) is a unique joint because both the right and left joints must open synchronously for function, Ankylosis of the TMJ refers to bony or fibrous adhesion of the anatomical components of the joint and their ensuing loss of function. Early presentation means that the patient will require a less extensive surgical treatment. The reality, however, is that many patients present to the surgeons, years or decades after the initial injury, and so TMJ ankylosis would have been fully established. Causes of TMJ ankylosis include trauma and infections. Surgery with aggressive post-operative physiotherapy is the mainstay of management. There is paucity of reports on the presentation and management of this condition from our centre. We present two patients, 16 and 20 years old, with TMJ ankylosis in our centre. Both of them presented after 12 and 18 years, respectively, of initial injury to the TMJs.