Synovial chondromatosis and osteochondroma in TMJ with CBCT images

측두하악관절에 발생한 활액연골종증과 골연골종의 CBCT 영상

  • Seo, Yo-Seob (Department of Oral and Maxilloficial Radiology, School of Dentistry, Oral Biology Research Institute, Chosun University) ;
  • Lee, Gun-Sun (Department of Oral and Maxilloficial Radiology, School of Dentistry, Oral Biology Research Institute, Chosun University) ;
  • Kim, Jin-Soo (Department of Oral and Maxilloficial Radiology, School of Dentistry, Oral Biology Research Institute, Chosun University) ;
  • Kim, Jae-Duk (Department of Oral and Maxilloficial Radiology, School of Dentistry, Oral Biology Research Institute, Chosun University)
  • 서요섭 (조선대학교 치의학전문대학원 구강악안면방사선학교실, 구강생물학연구소) ;
  • 이근선 (조선대학교 치의학전문대학원 구강악안면방사선학교실, 구강생물학연구소) ;
  • 김진수 (조선대학교 치의학전문대학원 구강악안면방사선학교실, 구강생물학연구소) ;
  • 김재덕 (조선대학교 치의학전문대학원 구강악안면방사선학교실, 구강생물학연구소)
  • Received : 2010.01.09
  • Accepted : 2010.01.31
  • Published : 2010.03.31

Abstract

Synovial chondromatosis is an uncommon disorder characterized by metaplastic formation of multiple cartilaginous and osteocartilaginous nodules within connective tissue of the synovial membrane of joints. Osteochondroma is a benign lesion of osseous and cartilagenous origin. It is frequently found in the general skeleton, but is rare in the mandibular condyle. We experienced 2 patients with abnormal appearance of temporomandibular joint. Histologic diagnoses were not obtained, because surgery was unwarranted in view of the lack of symptoms and the benign differential diagnosis. We describes 2 cases that show the characteristics of both disease simultaneously.

Keywords

References

  1. White SC, Pharoah MJ. Oral radiology; principles and interpretation. 6th ed. St.Louis: MOSBY Inc, an affiliate of Elsevier Inc; 2008. p. 496.
  2. Li B, Long X, Cheng Y, Yang X, Li X, Cai H. Ultrasonographic and arthrographic diagnoses of synovial chondromatosis. Dentomaxillofac Radiol 2007; 36 : 175-9. https://doi.org/10.1259/dmfr/32238405
  3. Forssell K, Happonen RP, Forssell H. Synovial chondromatosis of the temporomandibular joint. Report of a case and review of the literature. Int J Oral Maxillofac Surg 1988; 17 : 237-41. https://doi.org/10.1016/S0901-5027(88)80048-1
  4. Reinish EI, Feinberg SE, Devaney K. Primary synovial chondromatosis of the temporomandibular joint with suspected traumatic etiology. Report of a case. Int J Oral Maxillofac Surg 1997; 26 : 419-22. https://doi.org/10.1016/S0901-5027(97)80005-7
  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. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology. 3rd ed. St.Louis: SAUNDERS, an imprint of Elsevier Inc; 2008. p. 657-8.
  7. Deahl ST 2nd, Ruprecht A. Asymptomatic, radiologically detected chondrometaplasia in the temporomandibular joint. Oral Surg Oral Med Oral Pathol 1991; 72 : 371-4. https://doi.org/10.1016/0030-4220(91)90235-5
  8. Choi WJ, Hwang EH, Lee SR. The osteochondroma of the mandibular condyle: report of a case. Korean J Oral Maxillofac Radiol 2000; 30 : 138-43.
  9. Dahlin DC, Unni KK. Bone tomors. General aspects and data on 8542 cases. Springfield: Charles C Thomas; 1986. p. 18-32.
  10. Koole R, Steenks MH, Witkamp TD, Slootweg PJ, Shaefer J. Osteochondroma of the mandibular condyle. A case report. Int J Oral Maxillofac Surg 1996; 25 : 203-5. https://doi.org/10.1016/S0901-5027(96)80030-0
  11. Kim SE, Kim JD. Osteochondroma and synovial chondromatosis of the temporomandibular joint. Korean J Oral Maxillofac Radiol 2002; 32 : 41-7.
  12. Allan JH, Scott J. Osteochondroma of the mandible. Oral Surg Oral Med Oral Pathol 1974; 37 : 556-65. https://doi.org/10.1016/0030-4220(74)90287-4
  13. Keen RR, Callahan GR. Osteochondroma of the mandibular condyle: report of case. J Oral Surg 1977; 35 : 140-3.
  14. Simon GT, Kendrick RW, Whitlock RI. Osteochondroma of the mandibular condyle. Oral Surg Oral Med Oral Pathol 1977; 43 : 18-24. https://doi.org/10.1016/0030-4220(77)90344-9
  15. Kaplan AS, Assael LA. Neoplasia. In: Fantasia JE. Tempromadibular disorders, diagnosis and treatment. 1st ed. Phiadelphia: Saunder; 1991. p. 253-4.
  16. Forssell H, Happonen RP, Forssell K, Virolainen E. Osteochondroma of the mandibular condyle. report of a case and review of the literature. Br J Oral Maxillofac Surg 1985; 23 : 183-9. https://doi.org/10.1016/0266-4356(85)90088-9
  17. Van Ingen JM, de Man K, Bakri I. CT diagnosis of synovial chondromatosis of the temporomandibular joint. Br J Oral Maxillofac Surg 1990; 28 : 164-7. https://doi.org/10.1016/0266-4356(90)90080-5
  18. Wise DP, Ruskin JD. Arthroscopic diagnosis and treatment of temporomandibular joint synovial chondromatosis: report of a case. J Oral Maxillofac Surg 1994; 52 : 90-3. https://doi.org/10.1016/0278-2391(94)90023-X
  19. Zhang J, Wang H, Li X, Li W, Wu H, Miao J, et al. Osteochondromas of the mandibular condyle: variance in radiographic appearance on panoramic radiographs. Dentomaxillofac Radiol 2008; 37 : 154-60. https://doi.org/10.1259/dmfr/19168643
  20. Karras SC, Wolford LM, Cottrell DA. Concurrent osteochondroma of the mandibular condyle and ipsilateral cranial base resulting in temporomandibular joint ankylosis. J Oral Maxillofac Surg 1996; 54 : 640- 6. https://doi.org/10.1016/S0278-2391(96)90652-7
  21. Wolford LN, Merbra P, Franco P. Use of conservative condylectomy for treatment of osteochondroma of the mandibular condyle. J Oral Maxiilofac Surg 2002; 60 : 262-8. https://doi.org/10.1053/joms.2002.30570
  22. James RB, Alexander RW, Tarver JG Jr. Osteochondroma of the mandibular coronoid process. Report of a case. Oral Surg Oral Med Oral Pathol 1974; 37 : 189-95. https://doi.org/10.1016/0030-4220(74)90413-7
  23. Levine MH, Chessen J, McCarthy WD. Osteochondroma of the coronoid process of the mandible; report of a case and review of the literature. N Engl Med 1957; 257 : 374-6. https://doi.org/10.1056/NEJM195708222570805
  24. Kaneda T, Torii S, Yamashita T, Inoue N, Shimizu K. Giant osteochondroma of the mandibular condyle. J Oral Maxillofac Surg 1982; 40 : 818-21. https://doi.org/10.1016/0278-2391(82)90182-3
  25. Buoncristiani RD, Casagrande A, Felsenfeld AL. Osteochondroma of the glenoid fossa: occurrence in an atypical location. J Oral Maxillofac Surg 2003; 61 : 134-7.
  26. Huvos AG. Bone tumors, diagnosis, treatment and prognosis. Philadelphia: Saunder; 1979. p. 139-60.
  27. Spjut HJ, Dorfman HD, Fechner RE, Ackerman LV. Tumors of bone and cartilage. Washinton: Armed Forces Institute of Pathology; 1971. p. 59-77.
  28. Iizuka T, Schroth G, Laeng RH, Ladrach K. Osteochondroma of the mandibular condyle: report of a case. J Oral Maxillofac Surg 1996; 54 : 495-501. https://doi.org/10.1016/S0278-2391(96)90127-5
  29. 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
  30. 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
  31. Rosati LA, Stevens C. Synovial chondromatosis of the temporomandibular joint presenting as an intracranial mass. Arch Otolaryngol Head Neck Surg 1990; 116 : 1334-7. https://doi.org/10.1001/archotol.1990.01870110106015
  32. Nussenbaum B, Roland PS, Gilcrease MZ, Odell DS. Extra-articular synovial chondromatosis of the temporomandibular joint: pitfalls in diagnosis. Arch Otolaryngol Head Neck Surg 1999; 125 : 1394-7.
  33. Nokes SR, King PS, Garcia R Jr, Silbiger ML, Jones JD 3rd, Castellano ND. Temporomandibular joint chondromatosis with intracranial extension: MR and CT contributions. AJR Am J Roentgenol 1987; 148 : 1173-4. https://doi.org/10.2214/ajr.148.6.1173
  34. Ida M, Yoshitake H, Okoch K, Tetsumura A, Ohbayashi N, Amagasa T, et al. An investigation of magnetic resonance imaging geatures in 14 patients with synovial chondromatosis of the temporomandibular joint. Dentomaxillofac Radiol 2008; 37 : 213-9. https://doi.org/10.1259/dmfr/95185114