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[颞下颌关节滑膜软骨瘤病——腮腺肿瘤的鉴别诊断]

[Synovial chondromatosis of the temporomandibular joint--a differential diagnosis to parotid gland tumor].

作者信息

Reinert S, Hammer U

机构信息

Abteilung für Mund-Kiefer-Gesichtschirurgie des Bundeswehrkrankenhauses Hamburg.

出版信息

Laryngorhinootologie. 1989 Apr;68(4):216-20. doi: 10.1055/s-2007-998321.

Abstract

Synovial chondromatosis of the temporomandibular joint is an uncommon disease of cartilaginous transformation of synovial membrane with formation of loose bodies within the joint space. The stimulus for synovial chondromatosis at this site is unknown. Symptoms frequently include pain and preauricular swelling with occasional snapping during jaw movements. Radiographs of the TMJ may be normal or show multiple, partially calcified loose bodies within the joint. Treatment consists of removal of the loose bodies together with all affected synovium. In this paper a case of synovial chondromatosis affecting the temporomandibular joint is reported and the literature of 38 cases is reviewed.

摘要

颞下颌关节滑膜软骨瘤病是一种少见的疾病,其特征为滑膜发生软骨化生,并在关节腔内形成游离体。该部位滑膜软骨瘤病的病因尚不清楚。症状通常包括疼痛、耳前肿胀,下颌运动时偶尔会出现弹响。颞下颌关节的X线片可能正常,或显示关节内有多个部分钙化的游离体。治疗方法包括摘除游离体以及所有受累的滑膜。本文报告了1例累及颞下颌关节的滑膜软骨瘤病病例,并对38例相关文献进行了综述。

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