Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제35권3호
  • /
  • Pages.176-181
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  • 2009
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지

측두골을 포함한 원발성 악관절 활막 연골종증

PRIMARY SYNOVIAL CHONDROMATOSIS OF THE TEMPOROMANDIBULAR JOINT WITH TEMPORAL INVOLVEMENT

  • 김일규 (인하대학교 의과대학 부속병원 구강악안면외과) ;
  • 백민규 (인하대학교 의과대학 부속병원 구강악안면외과) ;
  • 장금수 (인하대학교 의과대학 부속병원 구강악안면외과) ;
  • 박승훈 (인하대학교 의과대학 부속병원 구강악안면외과) ;
  • 박종원 (인하대학교 의과대학 부속병원 구강악안면외과)
  • Kim, Il-Kyu (Department of Oral and Maxillofacial surgery, College of Medicine, Inha University) ;
  • Baek, Min-Kyu (Department of Oral and Maxillofacial surgery, College of Medicine, Inha University) ;
  • Chang, Keum-Soo (Department of Oral and Maxillofacial surgery, College of Medicine, Inha University) ;
  • Park, Seung-Hoon (Department of Oral and Maxillofacial surgery, College of Medicine, Inha University) ;
  • Park, Jong-Won (Department of Oral and Maxillofacial surgery, College of Medicine, Inha University)
  • 발행 : 2009.06.30
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초록

Synovial chondromatosis is a rare, benign, monoarticular arthropathy that is characterized by the development of highly cellular, metaplastic cartilaginous nodules in the synovial membrane. It commonly affects larger joints such as the knee, elbow, wrist, shoulder, and hip. Synovial chondromatosis of the temporomandibular joint(TMJ) is rare. Moreover, the temporal involvement of synovial chondromatosis without connection with joint is greatly rare. A 44-year-old women had experienced pain of the right TMJ area and limitation of mouth opening. MRI and CT revealed multiple calcified loose bodies and widening in right upper joint space of TMJ and osteolytic lesion in right temporal bone. Treatment consisted of removal of multiple loose bodies, resection of the osteolytic lesion through the preauricular approach. She was diagnosed with primary transitional synovial chondromatosis of TMJ with involvement of temporal bone. In spite of remaining of the loose bodies, pain and mouth opening improved and there have been no recurrence of signs and symptoms for 5 years follow up.

키워드

참고문헌

  1. Petito AR, Bennett J, Assael LA, Carlotti AE. Synovial chondromatosis of the temporomandibular joint: Varying presentation in 4 cases. Oral Surg Oral Med Oral Path 2000;90:758-64 https://doi.org/10.1067/moe.2000.107533
  2. Lucas JH, Quinn P, Foote J, Baker S, Bruno J. Recurrent synovial chondromatosis treated with menisectomy and synovectomy.Oral Surg Oral Med Oral Path 1997;84: 253-57 https://doi.org/10.1016/S1079-2104(97)90339-5
  3. Ardekian L, Troulis MJ, August M. Synovial Chondromatosis of the Temporomandibular Joint: Report and Analysis of Eleven Cases. J Oral Maxillofac Surg 2005;64:941-7 https://doi.org/10.1016/j.joms.2005.03.009
  4. Koyama J, Ito J, Hayashi T, Kobayashi F. Synovial Chondromatosis in the Temporomandibular Joint Complicated by Displacement and Calcification of the Articular Disk: Report of Two Cases. Am J Neuroradiol 2001;22:1203-6
  5. Kim IK, Choi JH, Oh SS, Oh NS, Kim HD, Lee SH, et al.Synovial chondromatosis of the temporomandibular joint: A casereport. J Kor Oral Maxillofac Surg 2000;26:109-13
  6. Quinn PD, Stanton DC, Foote JW. Synovial chondromatosis with cranial extension. Oral Surg Oral Med Oral Path 1992;73:398-402 https://doi.org/10.1016/0030-4220(92)90313-F
  7. Milgram JW. The Classification of Loose Bodies in Human Joints. Clin Orthop 1977;124:282-91
  8. Huh JK, Park JY, Lee S, Lee SH, Choi SW. Synovial chondromatosis of the temporomandibular joint with condylar extension.Oral Surg Oral Med Oral Path 2006;101:e83-e88 https://doi.org/10.1016/j.tripleo.2005.10.062
  9. Noyek AM, Holgate RC, Fireman SM, Rosen P, Pritzker KP.The radiologic finding in synovial chondromatosis (chondrometaplasia)of the temporomandibular joint. J Otolaryngol Suppl 1977;3:45-8
  10. Wong WC, Cheng PW, Chan FL. MRI Appearance of SynovialChondromatosis in the Temporomandibular Joint. ClinicalRadiology 2001;56:773-82 https://doi.org/10.1053/crad.2000.0462
  11. Yu Q, Yang J, Wang P, Shi H, Luo J. CT features of synovial chondromatosis in the temporomandibular joint. Oral Surg OralMed Oral Path 2004;97:524-8 https://doi.org/10.1016/j.tripleo.2003.10.027
  12. Kim HG, Park KH, Huh JK, Song YB, Choi HS. Magnetic Resonance Imaging Characterstics of Synovial Chondromatosisof the Temporomandibular Joint. J Orofac Pain 2002;16:148-53
  13. Miyamoto H, Sakashita H, Miyata M, Kurita K. ArthroscopicDiagnosis and Treatment of Temporomandibular Joint SynovialChondromatosis. J Oral Maxillofac Surg 1996;54:629-31 https://doi.org/10.1016/S0278-2391(96)90648-5
  14. Miyamoto H, Sakashita H, Wilson DF, Goss AN. Synovial chondromatosisof the temporomandibular joint. Br J Oral MaxillofacSurg 2000;38:205-8 https://doi.org/10.1054/bjom.1999.0181
  15. Gerard Y, Shall A, Ameil M. Osteochondromatose synoviale.Indications the petiques orientees par une classification histologique.Chirurgie 1993;119:190-4
  16. Karlis V, Glickman RS, Zaslow M. Synovial Chondro-matosis ofthe temporomandibular joint presenting as a parotid mass:Possibility of confusion with benign mixed tumor. Oral Surg OralMed Oral Path 1998;86:664-6 https://doi.org/10.1016/S1079-2104(98)90200-1
  17. Bell G, Sharp CW, Fourie LR. Conservative surgical managementof synovial chondromatosis. Oral Surg Oral Med Oral Path1997;84:592-3 https://doi.org/10.1016/S1079-2104(97)90354-1
  18. Aydin MA, Kurtay A, Celebioglu S. A case of synovial chondromatosisof the TMJ: Treatment based on stage of the disease. JCraniofac Surg 2002;13:670-5 https://doi.org/10.1097/00001665-200209000-00014
  19. Davis RI, Hamilton A, Biggart JD. Primary Synovial Chondromatosis:A Clinicopathologic Review and Assessment ofMalignant Potential. Hum Pathol 1998;29:683-8 https://doi.org/10.1016/S0046-8177(98)90276-3