The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Synovial Chondromatosis in the Temporomandibular Joint: Report of Two Cases

  • Ha, Yong-Chan (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University) ;
  • Kim, Chul-Hwan (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University)
  • 하용찬 (단국대학교 치과대학 구강악안면외과학교실) ;
  • 김철환 (단국대학교 치과대학 구강악안면외과학교실)
  • Received : 2017.06.21
  • Accepted : 2017.07.31
  • Published : 2017.10.01
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Abstract

Background Synocial chondromatosis(SC), a proliferative disorder of the synovial membrane. The etiology or cause of SC remains unclear. SC usually occurs in large articular joints such as knee, hip, elbow, and ankle. SC of the TMJ is very rare. It is a benign disease that mainly affects unilateral side. It can form cartilagenous and calcified loose bodies of various sizes and cause abnormal function of TMJ. Case Report In this paper, we report two cases of SC in the upper joint space of the left TMJ. One complained that "Sometimes the left jaw joint feels disoriented" and the other had no symptoms. CT scan and MRI showed left TMJ space widening, multiple tiny calcified mass. After clinical and radiographic analysis, we performed surgical removal of the lesion under genereal anesthesia. In the histologic examination, synovial chondromatosis was diagnosed in both patients. Conclusions We report two cases of synovial chondromatosis in the upper joint space of the left TMJ. We performed surgical removal of the lesion. The two patients showed good prognosis without recurrence or pain up to date.

Keywords

References

  1. Koyama J., Ito J., Hayashi T., and 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(6): p. 1203-6.
  2. Wong W.C., Cheng P.W., and Chan F.L., MRI appearance of synovial chondromatosis in the temporomandibular joint. Clin Radiol, 2001. 56(9): p. 773-4. https://doi.org/10.1053/crad.2000.0462
  3. Guijarro-Martinez R., Puche Torres M., Marques Mateo M., Solis Garcia I., Miragall Alba L., Iglesias Gimilio M.E., Perez-Herrezuelo Hermosa G., and Pascual Gil J.V., Bilateral synovial chondromatosis of the temporomandibular joint. J Craniomaxillofac Surg, 2011. 39(4): p. 261-5. https://doi.org/10.1016/j.jcms.2010.04.016
  4. Testaverde L., Perrone A., Caporali L., Ermini A., Izzo L., D'Angeli I., Impara L., Mazza D., Izzo P., and Marini M., CT and MR findings in synovial chondromatosis of the temporo-mandibular joint: our experience and review of literature. Eur J Radiol, 2011. 78(3): p. 414-8. https://doi.org/10.1016/j.ejrad.2009.11.015
  5. Kahraman A.S., Kahraman B., Dogan M., Firat C., Samdanci E., and Celik T., Synovial chondromatosis of the temporomandibular joint: radiologic and histopathologic findings. J Craniofac Surg, 2012. 23(4): p. 1211-3. https://doi.org/10.1097/SCS.0b013e3182564a6e
  6. Chen M.J., Yang C., Cai X.Y., Jiang B., Qiu Y.T., and Zhang X.H., Synovial chondromatosis in the inferior compartment of the temporomandibular joint: different stages with different treatments. J Oral Maxillofac Surg, 2012. 70(1): p. e32-8. https://doi.org/10.1016/j.joms.2011.07.014
  7. Martin-Granizo R., Sanchez J.J., Jorquera M., and Ortega L., Synovial chondromatosis of the temporomandibular joint: a clinical, radiological and histological study. Med Oral Patol Oral Cir Bucal, 2005. 10(3): p. 272-6.
  8. Meng J., Guo C., Yi B., Zhao Y., Luo H., and Ma X., Clinical and radiologic findings of synovial chondromatosis affecting the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2010. 109(3): p. 441-8. https://doi.org/10.1016/j.tripleo.2009.09.036
  9. Zha W., Zhao Y.F., Liu Y., and Jiang L., A case of synovial chondromatosis of the temporomandibular joint secondary to preauricular trauma. Int J Oral Maxillofac Surg, 2009. 38(11): p. 1212-5. https://doi.org/10.1016/j.ijom.2009.05.005
  10. Milgram J.W., The classification of loose bodies in human joints. Clin Orthop Relat Res, 1977(124): p. 282-91.
  11. Xu W.H., Ma X.C., Guo C.B., Yi B., and Bao S.D., Synovial chondromatosis of the temporomandibular joint with middle cranial fossa extension. Int J Oral Maxillofac Surg, 2007. 36(7): p. 652-5. https://doi.org/10.1016/j.ijom.2007.01.019
  12. Sink J., Bell B., and Mesa H., Synovial chondromatosis of the temporomandibular joint: clinical, cytologic, histologic, radiologic, therapeutic aspects, and differential diagnosis of an uncommon lesion. Oral Surg Oral Med Oral Pathol Oral Radiol, 2014. 117(3): p. e269-74. https://doi.org/10.1016/j.oooo.2013.04.020
  13. Gonzalez-Perez L.M., Sanchez-Gallego F., Perez-Ceballos J.L., and Lopez-Vaquero D., Temporomandibular joint chondrosarcoma: Case report. J Craniomaxillofac Surg, 2011. 39(1): p. 79-83. https://doi.org/10.1016/j.jcms.2010.03.018
  14. Davis R.I., Hamilton A., and Biggart J.D., Primary synovial chondromatosis: a clinicopathologic review and assessment of malignant potential. Hum Pathol, 1998. 29(7): p. 683-8. https://doi.org/10.1016/S0046-8177(98)90276-3
  15. Cai X.Y., Yang C., Chen M.J., Jiang B., Zhou Q., Jin J.M., Yun B., and Chen Z.Z., Arthroscopic management for synovial chondromatosis of the temporomandibular joint: a retrospective review of 33 cases. J Oral Maxillofac Surg, 2012. 70(9): p. 2106-13. https://doi.org/10.1016/j.joms.2011.09.043
  16. D'Souza B. and Dimitroulis G., A case of recurrence of synovial chondromatosis of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007. 104(4): p. e59-61.