Kim Dae-Hoon, Lee Eun Hee, Cho Eunae Sandra, Kim Jae-Young, Jeon Kug-Jin, Kim Jin, Huh Jong-Ki
Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul, Korea.
Department of Oral Pathology, Oral Cancer Research Institute, Yonsei University College of Dentistry, Seoul, Korea.
J Korean Assoc Oral Maxillofac Surg. 2017 Oct;43(5):336-342. doi: 10.5125/jkaoms.2017.43.5.336. Epub 2017 Oct 26.
Synovial chondromatosis is a rare benign lesion originating from the synovial membrane. It presents as adhesive or non-adhesive intra-articular cartilaginous loose bodies. Although the causes of synovial chondromatosis have not been fully elucidated, inflammation, external injury, or excessive use of joints have been suggested as possible causes. Synovial chondromatosis has been reported to occur most frequently at large joints that bear weights, with a rare occurrence at the temporomandibular joint (TMJ). When synovial chondromatosis develops at TMJ, clinical symptoms, including pain, joint sounds, and mouth opening may common. Moreover, synovial chondromatosis rarely spreads to the mandibular condyle, glenoid cavity, or articular eminence of TMJ. The goal of this study was to discuss the methods of surgery and other possible considerations by reviewing cases of patients who underwent surgery for synovial chondromatosis that extended to the temporal bone.
滑膜软骨瘤病是一种起源于滑膜的罕见良性病变。它表现为关节内粘连或非粘连性软骨游离体。尽管滑膜软骨瘤病的病因尚未完全阐明,但炎症、外部损伤或关节过度使用被认为是可能的病因。据报道,滑膜软骨瘤病最常发生在负重的大关节,颞下颌关节(TMJ)罕见。当滑膜软骨瘤病发生在颞下颌关节时,包括疼痛、关节弹响和张口受限等临床症状可能较为常见。此外,滑膜软骨瘤病很少扩散至颞下颌关节的下颌髁突、关节窝或关节结节。本研究的目的是通过回顾因滑膜软骨瘤病累及颞骨而接受手术治疗的患者病例,探讨手术方法及其他可能需要考虑的因素。