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Synovial osteochondromatosis of temporomandibular joint: Diagnosis and management

Balkan Journal of Dental MedicineDecember 12, 2023December 12, 2023

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Wójcicki Jakub, Rozwadowski Maciej, Czajkowska Natasza, Jaskólski Marcin

10th Military Research Hospital and Polyclinic, Maxillofacial Surgery Ward, Bydgoszcz, Poland

Abstract

Introduction: Synovial osteochondromatosis is a rare disease related to pathological changes involving joints’ synovium. In 60% it concerns knee joint. In temporomandibular joint this diagnosis has been recorded in only few international medical centres. Case report: In the study, a case of 31 years old woman who reported to the Maxillofacial Surgery Ward of 10th Military Research Hospital and Policlynic in Bydgoszcz, is presented. Main symptoms were tumor in the left temporomandibular joint area occuring for past 7 years, followed by swelling and pain. In the process of diagnostics and treatment multiple radiological imaging were involved. Also a surgical procedure was performed which included open revision and articular cavity lavage of the left temporomandibular joint. Conclusions: Treatment results, short-term, long-term observation and retrospecitve analysis show the way and dynamics of described condition development, benefits from surgical intervention as well as risk of recurrence.

Keywords: Osteochondromatosis; Synovial Chondromatosis; Synovial Osteochondromatosis; SOC

Reference

Agaram, N.P., Zhang, L., Dickson, B.C., Wanson, D., Sung, Y.S., Panicek, D.M., et al. (2020) A molecular study of synovial chondromatosis. Genes Chromosomes Cancer, 59:144-151

Barraclough, O., Wilson, G., Power, A. (2020) Synovial chondromatosis of the temporomandibular joint: a case report. Ann R Coll Surg Engl, 102:e213-e215

Dwidmuthe, S., Sharma, M. (2017) A Case Report of Primary Synovial Chondromatosis with Bilateral Genu Valgum. J Orthop Case Rep, 7:92-95

Grace, M.M., Letonoff, E.J. (2018) Synovial Chondromatosis: An Unusual Case of Knee Pain and Swelling. Fed Pract, 35:45-48

Lasmar, N.P., Vieira, R.B., Rosa, J.O., Lasmar, R.C., Scarpa, A.C. (2015) Synovial chondromatosis. Rev Bras Ortop, 45:490-492

Nath, P., Menon, S. (2020) Synovial Chondromatosis of the Temporomandibular Joint. J Maxillofac Oral Surg, 19:230-234

Pinto, J.A.A., Ferreira, e C.R., de Sousa, S.F., Chagas, M.R., Do, C.M.A., de Lacerda, J.C. (2015) Synovial Chondromatosis of the Temporomandibular Joint Successfully Treated by Surgery. Head Neck Pathol, 9:525-529

Sozzi, D., Bocchialini, G., Novelli, G., Valente, M.G., Moltrasio, F., Bozzetti, A. (2016) A rare case of synovial chondromatosis of the inferior TMJ compartment. Diagnosis and treatment aspect. Ann Stomatol (Roma), 6:91-95

van der Valk, M.R., Veltman, E.S., Assink, J., Veen, M.R. (2019) Synovial chondromatosis of the hip-a case report and literature review. J Orthop, 16:249-253
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Whyte, A., Boeddinghaus, R., Bartley, A., Vijeyaendra, R. (2021) Imaging of the temporomandibular joint. Clin Radiol, 76:76.e21-76.e35

Zhao, W., Ruan, Y., Zhang, W., Yang, F. (2021) Synovial chondromatosis of the temporomandibular joint with 400 loose bodies: a case report and literature review. J Int Med Res, 49:3000605211000526

Balkan Journal of Dental Medicine, 2023, vol. 27, br. 2, str. 124-127

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