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Synovial Chondromatosis in Temporomandibular Joint

  • Chung, A-Young (Department of Orofacial Pain and Oral Medicine, College of Dentistry, Yonsei University) ;
  • Hong, Jung-Hun (Department of Orofacial Pain and Oral Medicine, College of Dentistry, Yonsei University) ;
  • Kwon, Jeong-Seung (Department of Orofacial Pain and Oral Medicine, College of Dentistry, Yonsei University) ;
  • Ahn, Hyung-Joon (Department of Orofacial Pain and Oral Medicine, College of Dentistry, Yonsei University) ;
  • Choi, Jong-Hoon (Department of Orofacial Pain and Oral Medicine, College of Dentistry, Yonsei University) ;
  • Kim, Seong-Taek (Department of Orofacial Pain and Oral Medicine, College of Dentistry, Yonsei University)
  • Received : 2014.01.10
  • Accepted : 2014.02.05
  • Published : 2014.03.30

Abstract

Synovial chondromatosis (SC) in temporomandibular joint is a rare benign disorder characterized by cartilaginous metaplasia of the mesenchymal remnants of the synovial tissue. The etiology of the disease is unclear but may be associated with trauma, overuse, local infection, and embryologic disturbance. SC does not spontaneously resolve and respond to nonsurgical treatment. SC should be differentially diagnosed with other temporomandibular joint disorders such as arthralgia or osteoarthritis because surgery should be done for managing it. However, primary diagnosis of SC is not easy because of nonspecific symptoms and signs. For the patients with unsuccessful conservative treatment response, especially accompanied by crepitus, preauricular swelling or posterior open bite, computed tomography/cone-beam computed tomography or magnetic resonance imaging should to be performed to exclude SC. We discussed the importance of the early diagnosis and surgical treatment of SC from this case.

References

  1. de Leeuw R, Klasser GD. Orofacial pain: guidelines for assessment, diagnosis, and management. 5th ed. Chicago: Quintessence Publishing Co.; 2013. pp. 145.
  2. Meng J, Guo C, Yi B, Zhao Y, Luo H, Ma X. Clinical and radiologic findings of synovial chondromatosis affecting the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:441-448. https://doi.org/10.1016/j.tripleo.2009.09.036
  3. Shah SB, Ramanojam S, Gadre PK, Gadre KS. Synovial chondromatosis of temporomandibular joint: journey through 25 decades and a case report. J Oral Maxillofac Surg 2011;69:2795-2814. https://doi.org/10.1016/j.joms.2010.12.029
  4. Lim SW, Jeon SJ, Choi SS, Choi KH. Synovial chondromatosis in the temporomandibular joint: a case with typical imaging features and pathological findings. Br J Radiol 2011;84:e213-e216. https://doi.org/10.1259/bjr/74316620
  5. Sink J, Bell B, 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:e269-e274. https://doi.org/10.1016/j.oooo.2013.04.020
  6. Cai XY, Yang C, Chen MJ, et al. Arthroscopic management for synovial chondromatosis of the temporomandibular joint: a retrospective review of 33 cases. J Oral Maxillofac Surg 2012;70:2106-2113. https://doi.org/10.1016/j.joms.2011.09.043
  7. Guarda-Nardini L, Piccotti F, Ferronato G, Manfredini D. Synovial chondromatosis of the temporomandibular joint: a case description with systematic literature review. Int J Oral Maxillofac Surg 2010;39:745-755. https://doi.org/10.1016/j.ijom.2010.03.028