Chondrocalcinosis: rare localization in the temporomandibular joint (original) (raw)
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Oral and Maxillofacial Surgery Cases, 2020
Background Chondrocalcinosis is a metabolic disorder characterized by non-infectious joint inflammation with intra- or periarticular calcification. Temporomandibular (TMJ) chondrocalcinosis is rare and not usually included in the differential diagnosis of TMJ and facial pain disorders. Case report A 67-year-old woman presented with a calcified mass in the right TMJ between the condyle and glenoid fossa, eroding into the floor of the middle cranial fossa due to calcium pyrophosphate deposition in the TMJ. She underwent surgical excision of the mass with immediate econstruction with a custom-made prosthesis. On follow-up, there was complete clinical resolution, with no evidence of recurrence. Literature related to surgical treatment of chondrocalcinosis of TMJ and its treatment was reviewed. Surgery is the most commonly used treatment. A custom-made device allowed us to bridge the defect caused by the destructive disease process. Conclusion Custom-made prostheses can be considered a s...
A Case Report of Chondrosarcoma of Temporomandibular Joint
Indian Journal of Otolaryngology and Head & Neck Surgery, 2021
In this case report we describe a rare case of chondrosarcoma of the Temporomandibular joint in a 70 years old female who presented with a right preauricular swelling, trismus and neuralgic pain. On examination, firm and tender swelling was noted in the right preauricular region. CT Scan revealed 3.48 × 3.0 cm size mass lesion in the region of mandibular condyle and extending into the right temporomandibular joint space. The cytopathological report was suggestive of chondroid malignancy. The tumor was excised and histopathological examination showed large sheets of atypical tumor cells with cartilaginous matrix and diagnosis of a well differentiated Chondrosarcoma was confirmed. Post-surgical resection, patient remains disease free at 15 months follow up.
Dentomaxillofacial Radiology
Objective: The aim of this study was to investigate the prevalence of TMJ chondrocalcinosis on head CT scans in patients with chondrocalcinosis of the knee or wrist. Methods and materials: 227 patients with radiological evidence of calcifications on knee or wrist radiographs had a head CT scan obtained for unrelated purposes. CT scans were retrospectively reviewed for the presence of temporomandibular crystal deposition. Prevalence, bilaterality, age and gender distribution were determined. Results: 41 of 227 (18%) of patients had TMJ chondrocalcinosis. TMJ chondrocalcinosis was more common in females (17%) than males (1%). It was more commonly unilateral (68%) than bilateral (32%). Conclusion: In patients with peripheral calcific disease, the TMJ is more commonly involved than previously reported and this is more common in females compared to males.
Diagnosis of Synovial Chondromatosis of Temporomandibular Joint: Case Report and Literature Review
Healthcare, 2021
Synovial chondromatosis is a non-cancerous tumor characterized by the formation of multiple nodules of cartilage due to metaplastic development of the synovial membrane. Etiology can be a primary lesion, of which pathogenesis remains unknown, or low-grade trauma or internal disorders. This pathology can long remain undiagnosed and leads to therapeutic wandering, especially since clinical manifestations are non-specific. Symptoms may mimic temporomandibular disorders and dental orthopantomogram does not always show intra-articular calcified bodies. Cone beam computed tomography (CBCT) and magnetic resonance imaging (MRI) are tests of choice for the diagnosis of this pathology. This case report describes the clinical manifestations, diagnosis and management of a case of synovial chondromatosis involving the temporomandibular joint, in a 21-year-old woman who was initially treated for two years for a common temporo-mandibular disorder. The evidence gathered during the medical interview...
Radiographic Diagnosis of Synovial Chondromatosis of the Temporomandibular Joint: A Case Report
2009
Synovial chondromatosis is a rare, benign condition that usually affects the larger diarthroidal joints of the axial skeleton. Approximately 120 cases of synovial chondro- matosis involving the temporomandibular joint (TMJ) have been reported. People with this condition may present with swelling, pain, intracapsular sounds and limitation of mandibular movement. Because it is important to differentiate synovial chondromatosis from other joint
Chondrosarcoma of the Temporomandibular Joint: A Case Report and Review of the Literature
Journal of Oral and Maxillofacial Surgery, 2010
Chondrosarcoma is a malignant tumor characterized by the formation of cartilage, but not bone, by tumor cells. Only 5% to 10% of chondrosarcomas occur in the head and neck, representing 0.1% of all head and neck neoplasms, with the larynx and the maxillo-nasal region being the most common sites. This report describes an unusual case of chondrosarcoma in a 54-year-old man who presented with pain and swelling in the left preauricular area. Computed tomography demonstrated a soft tissue mass in the left temporomandibular joint without causing erosion of the adjacent bony structures. The tumor was treated by excision in a single block with perilesional tissues, preserving the facial nerve. Histopathologic examination revealed chondrocytes with irregular nuclei with S-100 immunocytochemical staining positive in 30% of the tumor. The diagnosis was a grade I chondrosarcoma. There was no evidence of disease at the 16-month follow-up. The occurrence of chondrosarcoma in the temporomandibular joint (TMJ) is an exceptional event, with only 16 cases described. We report a case of this unusual entity and review the literature.
Chondrosarcoma of the temporomandibular joint
Otolaryngology - Head and Neck Surgery, 1999
Chondrosarcomas arise most commonly in the pelvis, femur, and humerus. The occurrence of this malignant osseous tumor in the head and neck region, especially the mandible, is rare. In 1986 Weiss and Bennett 2 reviewed the literature of chondrosarcoma involving the head and neck region and documented 161 cases, of which 56 involved the mandible. Even more rare is the occurrence of chondrosarcoma arising from the temporomandibular joint (TMJ). A current review of American and European literature revealed only 6 cases originating at the TMJ, the most recent of which was reported by Nitzan et al 3 in 1993. In this article an additional case of chondrosarcoma of the TMJ is presented. Pertinent clinical aspects, including presenting features, radiographic findings, histopathology, and treatment of chondrosarcoma of the mandible are discussed. Chondrosarcoma arising in the TMJ is emphasized because tumors at this site present a special management challenge because of the involvement of the cranial base and the temporal bone.
Synovial Chondromatosis of the Temporomandibular Joint with Extension to the Glenoid Fossa
SAS journal of surgery, 2023
Synovial chondromatosis is a rare pathology that affects the large joints, it is exceptional in TMJ, it is related to a synovial metaplasia with production of cartilaginous bodies in the temporomandibular joint (TMJ) , its slow evolution and its non-specific clinical presentation are the causes of the diagnostic delay that characterizes this pathology; We present a case of synovial chondromatosis of the TMJ in a 38 year old patient, in whom the CT scan showed a cartilaginous tumor of the TMJ with erosion of the glenoid fossa without intracranial extension, The biopsy with anatomopathological study confirmed the diagnosis of synovial chondromatosis, the loose cartilaginous bodies were completely cleaned by arthrotomy through a right preauricular approach, the evolution was good, and the two-year follow-up did not find any sign of recurrence. Imaging, especially MRI, is very useful in the diagnosis of this pathology; there is no consensus regarding the treatment of synovial chondromatosis, either by arthrotomy or arthroscopy, the main point is to clean all loose cartilage bodies to avoid recurrence.
Synovial chondromatosis affecting the temporomandibular joint
Arthritis & Rheumatism, 1977
A case of synovial chondromatosis affecting the temporomandibular joint is reported and the literature is reviewed. Chondromatosis occurs most frequently in this joint in middle-aged women, and it presents with pain and tenderness over the joint. Radiologically, the condition is detected by widening of the joint space with the variable presence of radiodense loose bodies. Pathologically, the loose bodies in the case presented were demonstrated to arise from cartilaginous metaplasia of the synovial lining. The stimulus for synovial chondrometaplasia at this site is unknown.
SAGE open medical case reports, 2018
Synovial chondromatosis is a benign disease which most commonly appears in large joints and only rarely affects the temporomandibular joint. The diagnosis is quite difficult due to the fact that a large swelling in the preauricular area and the radiographic findings may be misdiagnosed as other benign or malignant diseases. We report an unusual case of intra- and extracapsular chondromatosis of 25 osteochondral loose bodies in the right temporomandibular joint.