Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

Temporomandibular joint synovial chondromatosis extending to the temporal bone: a report of two cases

  • Kim, Dae-Hoon (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Lee, Eun Hee (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Cho, Eunae Sandra (Department of Oral Pathology, Oral Cancer Research Institute, Yonsei University College of Dentistry) ;
  • Kim, Jae-Young (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Jeon, Kug-Jin (Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry) ;
  • Kim, Jin (Department of Oral Pathology, Oral Cancer Research Institute, Yonsei University College of Dentistry) ;
  • Huh, Jong-Ki (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry)
  • Received : 2017.06.30
  • Accepted : 2017.09.11
  • Published : 2017.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Synovial chondromatosis is a rare benign lesion originating from the synovial membrane. It presents as adhesive or non-adhesive intra-articular cartilaginous loose bodies. Although the causes of synovial chondromatosis have not been fully elucidated, inflammation, external injury, or excessive use of joints have been suggested as possible causes. Synovial chondromatosis has been reported to occur most frequently at large joints that bear weights, with a rare occurrence at the temporomandibular joint (TMJ). When synovial chondromatosis develops at TMJ, clinical symptoms, including pain, joint sounds, and mouth opening may common. Moreover, synovial chondromatosis rarely spreads to the mandibular condyle, glenoid cavity, or articular eminence of TMJ. The goal of this study was to discuss the methods of surgery and other possible considerations by reviewing cases of patients who underwent surgery for synovial chondromatosis that extended to the temporal bone.

Keywords

References

  1. Akhtar M, Mahajan S, Kott E. Synovial chondromatosis of the temporomandibular joint. J Bone Joint Surg Am 1977;59:266-7. https://doi.org/10.2106/00004623-197759020-00027
  2. von Lindern JJ, Theuerkauf I, Niederhagen B, Berge S, Appel T, Reich RH. Synovial chondromatosis of the temporomandibular joint: clinical, diagnostic, and histomorphologic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:31-8. https://doi.org/10.1067/moe.2002.123498
  3. Karlis V, Glickman RS, Zaslow M. Synovial chondromatosis of the temporomandibular joint with intracranial extension. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86:664-6. https://doi.org/10.1016/S1079-2104(98)90200-1
  4. Ardekian L, Faquin W, Troulis MJ, Kaban LB, August M. Synovial chondromatosis of the temporomandibular joint: report and analysis of eleven cases. J Oral Maxillofac Surg 2005;63:941-7. https://doi.org/10.1016/j.joms.2005.03.009
  5. Quinn PD, Stanton DC, Foote JW. Synovial chondromatosis with cranial extension. Oral Surg Oral Med Oral Pathol 1992;73:398-402. https://doi.org/10.1016/0030-4220(92)90313-F
  6. Simon GT, Kendrick RW, Whitlock RI. Osteochondroma of the mandibular condyle. Case report and its management. Oral Surg Oral Med Oral Pathol 1977;43:18-24. https://doi.org/10.1016/0030-4220(77)90344-9
  7. Lustmann J, Zeltser R. Synovial chondromatosis of the temporomandibular joint. Review of the literature and case report. Int J Oral Maxillofac Surg 1989;18:90-4. https://doi.org/10.1016/S0901-5027(89)80138-9
  8. Hammodeh N, Nasser NA. Synovial chondromatosis of the temporomandibular joint, presenting as parotid mass. J Laryngol Otol 2006;120:e40. https://doi.org/10.1017/S0022215106003823
  9. Cannon CR. Osteochondrosis of the temporomandibular joint presenting as an apparent parotid mass. Ann Otol Rhinol Laryngol 1987;96:330-2. https://doi.org/10.1177/000348948709600318
  10. Allias-Montmayeur F, Durroux R, Dodart L, Combelles R. Tumours and pseudotumorous lesions of the temporomandibular joint: a diagnostic challenge. J Laryngol Otol 1997;111:776-81.
  11. Balliu E, Medina V, Vilanova J, Pelaez I, Puig J, Trull JM, et al. Synovial chondromatosis of the temporomandibular joint: CT and MRI findings. Dentomaxillofac Radiol 2007;36:55-8. https://doi.org/10.1259/dmfr/89319561
  12. Wong WC, Cheng PW, Chan FL. MRI appearance of synovial chondromatosis in the temporomandibular joint. Clin Radiol 2001;56:773-4. https://doi.org/10.1053/crad.2000.0462
  13. 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. AJNR Am J Neuroradiol 2001;22:1203-6.
  14. Herzog S, Mafee M. Synovial chondromatosis of the TMJ: MR and CT findings. AJNR Am J Neuroradiol 1990;11:742-5.
  15. Kim HG, Park KH, Huh JK, Song YB, Choi HS. Magnetic resonance imaging characteristics of synovial chondromatosis of the temporomandibular joint. J Orofac Pain 2002;16:148-53.
  16. Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. J Bone Joint Surg Am 1977;59:792-801. https://doi.org/10.2106/00004623-197759060-00013
  17. Hallam P, Ashwood N, Cobb J, Fazal A, Heatley W. Malignant transformation in synovial chondromatosis of the knee? Knee 2001;8:239-42. https://doi.org/10.1016/S0968-0160(01)00084-9
  18. Lieger O, Zix J, Stauffer-Brauch EJ, Iizuka T. Synovial chondromatosis of the temporomandibular joint with cranial extension: a case report and literature review. J Oral Maxillofac Surg 2007;65:2073-80. https://doi.org/10.1016/j.joms.2006.04.039
  19. Huh JK, Park JY, Lee S, Lee SH, Choi SW. Synovial chondromatosis of the temporomandibular joint with condylar extension. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:e83-8. https://doi.org/10.1016/j.tripleo.2005.10.062

Cited by

  1. A Case of Synovial Chondromatosis of Temporomandibular Joint with Numerous Loose Bodies vol.2021, pp.None, 2017, https://doi.org/10.1155/2021/5927215