Bilateral synovial chondromatosis of the temporomandibular joint

Guijarro‐Martínez, Raquel; Torres, M. Puche; Mateo, Mariano Marqués; García, I. Solís; Alba, L. Miragall; Gimilio, M.E. Iglesias; Hermosa, Gonzalo Pérez-Herrezuelo; Gil, J.

doi:10.1016/j.jcms.2010.04.016

Cited by 22 publications

(26 citation statements)

References 24 publications

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“…Cependant, l'examen TDM les visualise mieux. L'étage articulaire supérieur discotemporal est le plus atteint [20]. Des signes de dégénérescence osseuse sont souvent retrouvés (encoche osseuse temporale ou condylienne) [15].…”

Section: Discussionunclassified

La chondromatose synoviale temporo-mandibulaire : à propos de 4 cas cliniques et revue de la littérature

Umana

Piral

Princ

et al. 2015

Med Buccale Chir Buccale

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Résumé -Introduction : L'ostéochondromatose ou chondromatose synoviale temporo-mandibulaire est une arthropathie chronique bénigne d'étiologie inconnue. Elle se caractérise par une métaplasie chondroïde de la membrane synoviale ayant pour résultat la formation intra-articulaire de corps cartilagineux ou ostéo-cartilagineux. Observations : Quatre cas d'ostéochondromatose synoviale de l'ATM sont envisagés : le premier exhibait un tableau clinique similaire à celui d'un désordre temporo-mandibulaire (DTM) ; quant aux trois autres, ils furent diagnostiqués à la suite d'une tuméfaction de la région prétragienne. Discussion : Cette pathologie se révèle par des signes articulaires similaires à ceux d'un DTM. Un bilan radiologique par tomodensitométrie ou par imagerie par résonance magnétique permet d'évoquer le diagnostic. Le traitement est l'ablation des corps étrangers. L'évolution est favorable avec un faible taux de récidive. Conclusion : Les signes cliniques aspécifiques compliquent le diagnostic de cette pathologie. La confrontation des éléments cliniques, radiologiques et histologiques permet de poser le diagnostic.Abstract -Synovial chondromatosis of the temporomandibular joint: 4 case reports and literature review. Introduction: Synovial osteochondromatosis or chondromatosis of the Temporomandibular Joint (TMJ) is a benign arthropathy of unknown etiology that is characterized by chondrometaplasia of the synovial membrane, resulting in multiple intra-articular cartilaginous bodies. Observations: We present four cases of this disorder: the first case presented signs and symptoms of TMJ disorder and the other three presented a preauricular swelling. Discussion: Patients usually present articular symptoms similar to those related to TMJ disorders. Imaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI) are used for the diagnosis. Treatment of synovial chondromatosis usually consists of removal of the intra-articular bodies. The recurrence rate is low. Conclusion: Aspecific articular symptoms complicate the diagnosis of this pathology. The diagnosis is made by assessing the clinical, radiological and histological findings.

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Section: Discussionunclassified

La chondromatose synoviale temporo-mandibulaire : à propos de 4 cas cliniques et revue de la littérature

Umana

Piral

Princ

et al. 2015

Med Buccale Chir Buccale

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“…It is called primary SC if the causes of disease are unclear or secondary SC if there are related factors such as trauma or inflammation. In the case of primary SC, it develops less frequently but is said to be more aggressive, showing a high recurrence rate after surgery 1,[6][7][8][9] . The SC that has developed from joints other than the TMJ develops more frequently in males in general.…”

Section: Discussionmentioning

confidence: 99%

“…This is believed to be due to the fact that TMJ disease occurs more frequently in females. It develops more frequently on the right side (1.25 : 1), and sometimes, although rare, occurs on both sides [8][9][10] . Clinical symptoms show various aspects such as swelling of the TMJ, limitations of mandibular movement, pains when tactile diagnosis is carried out, and joint noise; in some cases, they are accompanied by changes in cross-bite.…”

Section: Discussionmentioning

confidence: 99%

“…Often, moderate cellular atypia and dikaryotic cells are observed. Cartilages display hyperchromatism and, sometimes, an atypical appearance carrying cartilaginous cell featuring 2 nuclei; in such case, differential diagnosis is needed with cartilaginous sarcoma 9) . Milgram histologically classified SC into 3 stages; the early stage is the dysplasia of the synovial membrane cell not carrying cartilaginous loose bodies.…”

Section: Discussionmentioning

confidence: 99%

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Synovial Chondromatosis of the Temporomandibular Joint: A Case Report

Cho¹,

Choi

Lee³

et al. 2013

Journal of Korean Dental Science

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“…In these regions, male patients are most affected. Primary occurrence in the temporomandibular joint (TMJ) is rare in a proportion of female/male 1.5:1 [1][2][3][4]. Most of the cases are unilateral, at the right side with just a few cases of bilateral occurrence [1,[4][5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Synovial Chondromatosis of the Temporomandibular Joint Successfully Treated by Surgery

Pinto¹,

Costa²,

Sousa

et al. 2015

Head and Neck Pathol

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Synovial chondromatosis (SC) is a chronic process, defined as a reactive cartilaginous proliferation, characterized by formation of cartilaginous nodules, usually loose in the joint space of the synovial membrane. It mainly affects large joints such as knee, hip, shoulder, and elbow, commonly in male patients. However, its manifestation in the Temporomandibular joint (TMJ), is a rare finding, occurring predominantly in females. This paper reports a case of a woman who presented to the service of Stomatology complaining of mouth opening limitations and pain in her left pre-auricular region. After clinical and radiographic analyses, the condition was diagnosed as SC of the TMJ. The loose bodies within the TMJ were removed under general anesthesia. Histological and followup features of this lesion are also discussed. To our knowledge, this is the second report of SC of the TMJ in Brazil.

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Bilateral synovial chondromatosis of the temporomandibular joint

Cited by 22 publications

References 24 publications

La chondromatose synoviale temporo-mandibulaire : à propos de 4 cas cliniques et revue de la littérature

La chondromatose synoviale temporo-mandibulaire : à propos de 4 cas cliniques et revue de la littérature

Synovial Chondromatosis of the Temporomandibular Joint: A Case Report

Synovial Chondromatosis of the Temporomandibular Joint Successfully Treated by Surgery

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