A case of synovial chondromatosis of the TMJ: treatment based on stage of the disease.
A patient with synovial chondromatosis of the temporomandibular joint extending to the preauricular skin, parotid, and infratemporal fossa was operated and followed with a stable remnant, for 2 years postoperatively. In light of literature and what the authors have learned from this case, the authors emphasize stage of the disease as a risk factor for recurrence. The long history of symptoms, calcified and conglomerated radiological appearance of the lesion, and extensive involvement of the joint and periarticular area of this case indicate a late-stage disease in which the metaplastic activity dwindles. For late stages, the authors suggest a conservative approach that will only provide symptom relief and prevent secondary joint deformity to avoid potential complications and morbidities of a more extensive surgery.
Aydin
Mustafa Asim
MA
SSK Egitim Hastanesi Plastik ve Rekonstruktif Cerrahi Klinigi Dişkapi, Ankara, Turkey. maaydin@med.sdu.edu.tr
Kurtay
Atilla
A
Celebioglu
Selim
S
D000328:Adult; D015838:Chondromatosis, Synovial / Q000145:classification / Q000601:surgery*; D003475:Curettage; D005500:Follow-Up Studies; D006801:Humans; D007594:Joint Loose Bodies / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008335:Mandibular Condyle / Q000473:pathology; D010306:Parotid Gland / Q000473:pathology; D011626:Pterygoid Muscles / Q000473:pathology; D012008:Recurrence; D012307:Risk Factors; D012867:Skin / Q000473:pathology; D013701:Temporal Bone / Q000473:pathology; D013705:Temporomandibular Joint Disorders / Q000145:classification / Q000601:surgery*; D014057:Tomography, X-Ray Computed