Pimenta e Souza Denis, Loureiro Caio Cesar de Souza, Falchet Paula Felix, Leandro Luiz Fernando Lobo, Raitz Ricardo
Section of Oral and Maxillofacial Surgery, Hospital Santa Paula, São Paulo, Brazil.
Cranio. 2010 Jan;28(1):67-71. doi: 10.1179/crn.2010.009.
Synovial chondromatosis of the temporomandibular joint (TMJ) is a rare lesion characterized by the presence of loose bodies in the glenoid fossa. Swelling, unilateral pain, occlusal changes, clicking, crepitation, deviation, and limited mandibular function are the most common characteristics, although this combination is not always apparent. Radiopacities of the TMJ should be thoroughly investigated as some signals and symptoms may be not present or combined, taking months or even years to confirm a diagnosis. A case report is presented here with a brief literature review, where surgical removal was the therapy of choice, calling attention to the absence of symptoms and some signals, which may mislead final diagnosis.
颞下颌关节滑膜软骨瘤病是一种罕见的病变,其特征是关节盂窝内出现游离体。肿胀、单侧疼痛、咬合变化、弹响、摩擦音、偏斜和下颌功能受限是最常见的特征,尽管这些特征并不总是同时出现。颞下颌关节的不透X线影像应进行全面检查,因为一些体征和症状可能不存在或不合并出现,需要数月甚至数年才能确诊。本文报告一例病例并进行简要文献复习,其中手术切除是首选治疗方法,同时提醒注意无症状和一些体征的情况,这可能会误导最终诊断。