Pigmented Villonodular Synovitis of the Temperomandibular Joint

Lapayowker, Marc S.; Miller, Wallace T.; Levy, Walter M.; Harwick, Robert D.

doi:10.1148/108.2.313

Cited by 69 publications

(31 citation statements)

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“…An extensive review of the literature produced 26 previously reported cases of PVNS found within the TMJ 1-3,7-10,12, [14][15][16][17][20][21][22]25,[28][29][30][31][32][33][35][36][37] ( Table 1). The most common presenting symptom was a preauricular mass or swelling, which occurred in 92% (24 of 26) of cases.…”

Section: Discussionmentioning

confidence: 99%

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Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension: a case and literature review

Herman

Swift

Schiffman

2009

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

“…26 The first documentation of PVNS in the temporomandibular joint (TMJ) was reported in 1973 by Lapayowker et al, who reported two cases 22 . To date, 26 cases of PVNS affecting the TMJ have been reported in the English literature [1][2][3][7][8][9][10]12,[14][15][16][17]20,21,25,[28][29][30][31][32][33][35][36][37][38] (Table 1).…”

mentioning

confidence: 99%

Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension: a case and literature review

Herman

Swift

Schiffman

2009

International Journal of Oral and Maxillofacial Surgery

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“…The classic plain radiographic findings of PVNS consist of cystic erosions, increased density of the synovium secondary to hemosiderin deposition, and periarticular soft-tissue swelling with no calcification5,9. CT clearly reveals areas of lytic bone erosion and sclerosis.…”

Section: Discussionmentioning

confidence: 99%

“…Although any joint can be affected, involvement of the temporomandibular joint (TMJ) is reportedly very rare3,4. Lapayowker et al5 first described PVNS of the TMJ in 1973. According to one literature search, since 1973, a total of 45 PVNS patients with TMJ involvement have been reported to date6.…”

Section: Introductionmentioning

confidence: 99%

Pigmented villonodular synovitis of the temporomandibular joint - computed tomography and magnetic resonance findings: a case report

Kim

Cho

Seo

et al. 2014

J Korean Assoc Oral Maxillofac Surg

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Pigmented villonodular synovitis (PVNS) is a benign but locally aggressive and destructive disease originating in the synovial membranes. It is a proliferative disorder of unknown etiology. Involvement of the temporomandibular joint (TMJ) is very rare. Computed tomography clearly reveals areas of lytic bone erosion and sclerosis, and also clearly defines the extent of the tumor which is the focal areas of hyperdensity within the soft-tissue mass. Magnetic resonance images invariably show profound hypointensity on both T1- and T2-weighted sequences due to hemosiderin pigmentation. Additionally, high signal intensity on T2-weighted images may indicate cystic loculation of the joint fluid. This case study describes a rare case of PVNS of the TMJ with bone destruction of the mandibular condyle. Complete surgical excision of the lesion was performed through a preauricular approach with temporal extension. During the 10-year follow-up, two more operations were performed due to local recurrence and the fracture of the reconstruction plate. Total joint reconstruction with Biomet was finally performed, and the absence of disease was confirmed with a biopsy report showing fibrosis with hyalinization and mild inflammation of the excised soft tissue from the old lesion.

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“…Der Befall des Kiefergelenks ist sehr selten und wird mit einer Inzidenz von 1,8 Fälle pro 1 Mio. angegeben [17].Den vorgestellten Patienten eingeschlossen, finden sich in der Literatur weniger als 25 beschriebene Fälle mit temporomandibulärer PVNS [2,5,14,15,18,19,22,23,24,25].…”

Section: Diskussionunclassified

Pigmentierte villonoduläre Synovitis des Kiefergelenks

Kunz

Leiggener

Fridrich

et al. 2003

HNO

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For the temporomandibular joint (TMJ), functional disorders are common but tumors and tumor like lesions are rare, although these are often mistaken for functional ailments. Early examination by computed tomography or, as a method of choice, magnetic resonance imaging is recommended in case of persisting TMJ problems. Pigmented villonodular synovitis (PVNS) is a rare benign but locally destructive fibrohistiocytic lesion originating in synovial tissue. Involvement of the temporomandibular joint is extremely rare, with the average age of patients being 44.6 years. This paper reports on a 13-year-old patient with diffuse PVNS involving the middle ear and middle cranial fossa. The treatment of choice involves wide local excision and reconstruction of the temporomandibular joint with long-term follow-up. Pathogenesis and differential diagnosis are discussed.

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Pigmented Villonodular Synovitis of the Temperomandibular Joint

Cited by 69 publications

References 1 publication

Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension: a case and literature review

Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension: a case and literature review

Pigmented villonodular synovitis of the temporomandibular joint - computed tomography and magnetic resonance findings: a case report

Pigmentierte villonoduläre Synovitis des Kiefergelenks

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