TEMPOROMANDİBULAR EKLEMDE GÖRÜLEN SİNOVİYAL KONDROMATOZİS ve CERRAHİ TEDAVİSİ : BİR OLGU SUNUMU

Year 2015, Supplement 12, 40 - 44, 24.11.2015

Celal Çandırlı Zeynep Gümrükçü , Nuray Yılmaz Altıntaş Ömer Sezgin Burcu Kemal Okatan

https://doi.org/10.17567/dfd.89045

Abstract

Sinoviyal kondromatozis sinoviyumun kartilaj nodüllerle görülen, benign metaplastik proliferatif bozukluğudur. Sinoviyal kondromatozisin etyolojisi henüz net olarak bilinmemektedir. Erken evrelerindeki non spesifik semptomları nedeni ile mekanik semptomlar gösterene kadar diagnozu zordur. Bu vaka raporunda 71 yaşındaki bayan hastada sağ temporomandibular eklemde osteoartrit benzeri semptomlar gösteren bir sinoviyal kondromatosiz olgusu ve cerrahi tedavisi anlatılmıştır. Genel anastezi altında sinoviyal kondromatozis nodülleri uzaklaştırılmış, kondilektomi ve temporomandibular eklem protezi uygulanmıştır. 18. ay klinik ve radyografik kontrol sonucunda hastada kabul edilebilir iyileşme ve TME’de fonksiyonel hareket gözlenmiştir.

Keywords

Sinoviyal kondromatozis, TME, kartilaginöz nodüller

SURGICAL TREATMENT of SYNOVIAL CHONDROMATOSIS in TMJ: A CASE REPORT

Abstract

Synovial chondromatosis is a benign metaplastic proliferative disorder of the synovium, that appears as cartilaginous nodules. The aetiology of synovial chondromatosis is not fully understood. Until mechanical symptoms appears it is hard to diagnose synovial chondromatosis due to it’s non spesific symptoms in early stages. In this study we presented a case of 71 years old female patient with right temporomandibular joint synovial chondromatosis and it’s surgical treatment that shows osteoarthritis like symptoms. Synovial chondromatosis nodules were removed, condylectomy and temporomandibular joint replacement was performed under general anesthesia. In the 18.months clinical and radiographical follow up the patient had shown acceptable healing and functional temporomandibular joint

Keywords

Synovial chondromatosis, TMJ, cartilaginous nodules

References

• Nardini-Guarda L, Piccotti F, Ferrona G, Manfredini chondromatosis
• temporomandibular joint:a case description with
• systematic literature review. Int.Journal of Oral
• and Maxillofacial Surgery 2010; 39: 745-55. the
• Sato J, Goto J, Kitagawa Y. Synovial chondromatosis of the temporomandibular joint accompanied by loose bodies in both the superior and inferior joint compartments: case report. Int J Oral Maxillofac Surg 2010; 39: 86-8.
• Gonzalez-Perez LM, Congregado-Cordoba J, Salinas-Martin MV. J. Temporomandibular joint synovial chondromatosis with a traumatic etiology. Int J Oral Maxillofac Surg 2011; 40: 330-4.
• Meng J, Guo C, Yi B, Zhao Y,Luo H, Ma X. Clinical and radiologic findings of synovial chondromatosis affecting the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 441-8.
• Yu Q, Yang J, Wang P, Shi H, Luo J. CT features of synovial chondromatosis in the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 97: 524-8.
• Carls FR, von Hochstetter A, Engelke W, Sailer HF. Loose bodies in the temporomandibular joint. The advantages of arthroscopy. J Craniomaxillofac Surg 1995: 23: 215-21.
• Chen MJ, Yang C, Zhang X, Qiu Y. Synovial chondromatosis originally arising in the lower compartment of temporomandibular joint: a case report and literature review. J Craniomaxillofac Surg 2011: 39: 459-62.
• Lim SW, Jeon SJ, Choi SS, Choi KH. Synovial chondromatosis in the temporomandibular joint: a case with typical imaging features and pathological findings. Br J Radiol 2011; 84: e213-6.
• Wang P, Tian Z, Yang J, Yu Q. Synovial chondromatosis of the temporomandibular joint: MRI findings with pathological comparison. Dentomaxillofac Radiol 2012;41: 110-6.
• Kerimoglu S, Aynacı O, Saraçoğlu M. Sinoviyal kondromatosiz:13 olgunun değerlendirilmesi. Joint Diseases and Related Surgery 2007; 18: 121-5.
• Mori Y, Kakudo K, Gotoh M, Kubo H, Akiyama Y, Yotsui Y, Shimizutani K.A case of synovial chondromatosis of the temporomandibular joint followed for 17 years. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 112: e35-9.
• Pau M, Bicsak A, Reinbacher M, Feichtinger M, Karcher H. Surgical treatment of synovial chondromatosis of the temporomandibular joint with erosion of the skull base: a case report and review of the literature. Int J Oral Maxillofac Surg 2014; 43: 600-5.
• Matsumoto R, Loi H, Nishioka M, Goto TK, Nakata S, Nakasima A, Counts AL. TMJ osteoarthritis/ osteoarthrosis and dentofacial morphology in Japanese females. orthodontic waves 2006; 65: 101-6.
• Arzi B, Winer JN, Kass PH, Verstraete FJM. Osteoarthritis of the temporomandibular joint in southern sea otters (Enhydra lutris nereis). J Comp Pathol 2013; 149: 486-94.
• Petito AR, Bennett J, Assael LA, Carlotti AE. Synovial chondromatosis of the temporoman- dibular joint: varying presentation in 4 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 758-64.
• Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. J Bone Joint Surg Am 1977; 59: 792-801.
• Dolan EA, Vogler JB, Angelillo JC. Synovial chondromatosis of the temporo-mandibular joint diagnosed by magnetic resonance imaging. J Oral Maxillofac Surg 1989; 47: 411-3.
• von Lindern JJ, Theuerkauf I,Niederhagen B, Berge S, Appel T, Reich RH. Synovial chondromatosis of the temporomandibular joint: clinical, diagnostic, and histomorphologic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94: 31-8.
• Guijarro-Martinez R, Puche Torres M, Solis Garcia I, Miragall Alba L, Iglesias Gimilio ME, Perez- Herrezuelo Hermosa G, Pascual Gil JV. Bilateral synovial chondromatosis of the temporomandibular joint. J Craniomaxillofac Surg 2011; 39: 261-5.
• Swan EF, Owens WF Jr. Synovial chondrometap- lasia: a case report with spontaneous regression and a review of the literature. South Med J 1972; 65: 1496-500.
• Hallam P, Ashwood N, Cobb J, Fazal A, Heatley W. Malignant transformation in synovial chondroma- tosis of the knee? Knee 2001; 8: 239-42.
• Hamilton A, Davis RI, Hayes D, Mollan RAB. Chondrosarcoma chondromatosis. A case report. J Bone Joint Surg Br 1987; 69: 137-40. in synovial
• Dinçel VE, Özer H, Sepici-Dinçel A, Turanlı S. Sinoviyal Kondromatozis: Olgu Sunumu. Türk Klinik Biyokimya Derg 2009; 7: 57-60.
• D'Souza B,Dimitroulis G. A case of recurrence of synovial chondromatosis of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: e59-61.
• Ferrazzo KL, Osorio LB, Ferrazzo VA. CT Images of a Severe TMJ Osteoarthritis and Differential Diagnosis with Other Joint Disorders. Case Rep Dent 2013; 2013: 242685.
• .Felson DT, Lawrence RC, Hirch R, Helmick CG,
• Jordan JM, Kington RS, Lane NE,Nevitt MC, Zhang Y, Sowers M, McAlindon T, Spector TD, Poole AR, Yanovski SZ, Ateshian G, Sharma L, Buckwalter JA, Brandt KD, Fries JF. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med 2000; 133: 635-46.
• Helmy ES, Bays BA, Sharawy MM. Synovial chondromatosis associated with experimental osteoarthritis in adult monkeys. J Oral Maxillofac Surg 1989; 47: 823-7.
• Benson BW, Otis LL. Disorders of the temporomandibular joint. Dent Clin North Am 1994; 38: 167-85.
• Yavuz SM, Güngör H, Aras MH, Yalçın E. TME osteoartrit tutulumu olan bireylerdeki gonial açının sağlıklı bireylerdeki gonial açı ile karşılaştırılması. Atatürk Üniv Diş Hek Fak Derg 2007; 17: 20-2.