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颞下颌关节滑膜软骨瘤病的诊断与外科治疗

Diagnosis and surgical management of synovial chondromatosis of the temporomandibular joint.

作者信息

Boffano Paolo, Viterbo Stefano, Bosco Giovanni Francesco

机构信息

Division of Maxillofacial Surgery, Head and Neck Department, San Giovanni Battista Hospital, University of Turin, Turin, Italy.

出版信息

J Craniofac Surg. 2010 Jan;21(1):157-9. doi: 10.1097/SCS.0b013e3181c50dc8.

Abstract

Synovial chondromatosis (SC) of the temporomandibular joint (TMJ) is an uncommon disease, which is characterized by chondrometaplasia of the synovial membrane. It is characterized by cartilaginous metaplasia of the mesenchymal remnants of the synovial tissue of the joints. Loose bodies can be found within the joint space. The cause of SC in the TMJ remains unclear. The nonspecific signs of SC often lead to a delay in diagnosis or a misdiagnosis. Removal of the loose bodies and of the synovial membrane involved is sufficient to control the disease in most cases. We present and discuss the diagnosis and surgical management of a new case of unilateral SC of the TMJ.

摘要

颞下颌关节滑膜软骨瘤病(SC)是一种罕见疾病,其特征为滑膜的软骨化生。它表现为关节滑膜组织间充质残余的软骨化生。关节间隙内可发现游离体。颞下颌关节SC的病因尚不清楚。SC的非特异性体征常导致诊断延迟或误诊。在大多数情况下,切除游离体及受累滑膜足以控制病情。我们展示并讨论一例新的单侧颞下颌关节SC的诊断及手术治疗。

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