scholarly journals A Case of Synovial Chondromatosis of Temporomandibular Joint with Numerous Loose Bodies

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Yumiko Matsusue ◽  
Kazuhiko Yamamoto ◽  
Nobuhiro Yamakawa ◽  
Ikumi Yamamoto ◽  
Shinpei Matsuda ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Oral Surgery ◽  
Panoramic Radiography ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Synovial Chondromatosis ◽  
Facial Features ◽  
Loose Bodies ◽  
Anterior Disc Displacement ◽  
Surgery Department

Here, we report a case of synovial chondromatosis of the temporomandibular joint (TMJ) with numerous loose bodies. A 56-year-old woman was examined in the oral surgery department for trismus and pain in the left TMJ when opening the mouth. Imaging indicated TMJ synovial chondromatosis, and the patient was referred to our department for further examination. Her facial features were symmetrical, and no occlusal abnormalities were found. The maximum mouth opening was 30 mm, and movement of the left mandibular condyle was restricted and accompanied by pain and joint sounds. Panoramic radiography showed deformation of the left mandibular condyle and radiopaque lesions surrounding it. Computed tomography showed numerous small granules around the left mandibular condyle, some of which were calcified. Magnetic resonance imaging showed anterior disc displacement without reduction in the left TMJ and hypointense lesions on T2-weighted images. Bone scintigraphy showed an accumulation in the area of the left TMJ. Based on the diagnosis of the left TMJ synovial chondromatosis, the lesions were removed, and plastic surgery on the mandibular condyle was performed under general anesthesia. We removed 386 white loose bodies. Histopathologically, the loose bodies were consistent with synovial chondromatosis lesions. The postoperative course was uneventful, with no recurrence or TMJ dysfunction approximately 5 years after the surgery, indicating that open surgery is the best course of intervention in such cases.

Arthroscopic Surgery for Removal of 112 Loose Bodies of Synovial Chondromatosis of the Temporomandibular Joint

2013 ◽  
Vol 24 (6) ◽  
pp. 2166-2169 ◽  
Author(s):  
YaoMin Zhu ◽  
CangShang Zheng ◽  
YongQiang Deng ◽  
Ying Zhang ◽  
XinXin Hu
Keyword(s):  
Temporomandibular Joint ◽  
Arthroscopic Surgery ◽  
Synovial Chondromatosis ◽  
Loose Bodies

scholarly journals THE EFFICACY OF HIGH CONDYLECTOMY IN INTERNAL DERANGMENT OF THE TEMPOROMANDIBULAR JOINT

2020 ◽  
Vol 4 (10) ◽  
Author(s):  
Vikas Sarowa ◽  
Vishnu Dayal Vyas ◽  
D.K. Gupta ◽  
Anjali Dave Tiwari
Keyword(s):  
Temporomandibular Joint ◽  
Small Sample Size ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Small Sample ◽  
Internal Derangement ◽  
Age Group ◽  
Maxillofacial Region ◽  
Anterior Disc Displacement

Background: Temporomandibular joint (TMJ) is a giglymoarthroidal Joint; it is the only mobile joint in the entire maxillofacial region and is a part of craniomandibular articulation. Methods: All the patients with internal derangement of temporomandibular joint having  anterior disc displacement without reduction with complaints of pain and limited opening of mouth, of all age group  reporting to the Department of Oral & Maxillofacial Surgery, GDC Jaipur were included in the study. Results: At one month follow up out of 20 patients 13 patients were not satisfied and at 6 month follow up 2 patients were not satisfied at all. Conclusion: We conclude that surgical treatment for internal derangement of the TMJ is required; this technique is effective to improve pain and mouth opening without complications. Although this study has a short follow up period and small sample size. Keywords: Mandible, Maxilla, TMJ.

scholarly journals Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Katheleen Miranda ◽  
André Sander Carneiro ◽  
Jennifer Tsi Gerber ◽  
Suyany Gabriely Weiss ◽  
Leandro Eduardo Klüppel ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Treatment Plan ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Lateral Deviation ◽  
Tmj Ankylosis ◽  
History Of ◽  
The Right

Introduction. The bifid mandibular condyle (BMC) is an unusual temporomandibular joint (TMJ) disorder with controversial etiology. The association of this entity with ankylosis is rare. Objective. The objective of the present study is to report a case of BMC with associated TMJ ankylosis in a patient with no history of trauma and/or infection. Case Report. A 17-year-old male patient sought care reporting pain on the right TMJ region and mastication difficulty due to a severe limitation of mouth opening. In the clinic and imaging examinations, a 15 mm mouth opening and BMC associated with ankylotic mass of the right TMJ were observed, besides a facial asymmetry with chin deviation to the right. The proposed treatment plan was condylectomy on the right side, bilateral coronectomy, and genioplasty, so the chin lateral deviation could be corrected, under general anesthesia. The patient remains under clinical and imaging follow-up of two years with functional stability and no signs of relapse of the ankylosis. Conclusion. The association of BMC with ankylosis is an atypical entity which must be diagnosed and treated early to prevent aesthetic and functional damages to the patient.

scholarly journals Bilateral Dislocation of Mandibular Condyles following General Anesthesia—An Overlooked Problem: A Case Report

2019 ◽  
Vol 13 (02) ◽  
pp. 291-293 ◽  
Author(s):  
Mohd Toufeeq ◽  
Murali Venkata Rama Mohan Kodali ◽  
Srikanth Gunturu ◽  
Kiran Kumar ◽  
Kavya Surapaneni
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Temporomandibular Joint ◽  
Traumatic Injury ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Orotracheal Intubation ◽  
Temporal Fossa

AbstractDislocation of mandibular condyles can occur following excessive mouth opening or traumatic injury to the temporomandibular joint. It can also occur during general anesthesia that at times may go un-noticed in the modern-day theater setup. Here, we describe a case of bilateral dislocation of mandibular condyle following orotracheal intubation for general anesthesia. Right condyle was dislocated into temporal fossa.

Synovial Chondromatosis of the Temporomandibular Joint

1979 ◽  
Vol 87 (6) ◽  
pp. 741-748 ◽  
Author(s):  
Willard E. Fee ◽  
Peter Windhorst ◽  
Robert Wiggins ◽  
Louis Pang
Keyword(s):  
Temporomandibular Joint ◽  
Synovial Membrane ◽  
Joint Space ◽  
Synovial Chondromatosis ◽  
Loose Bodies ◽  
Uncommon Disease ◽  
Silastic Prosthesis ◽  
The Right ◽  
Joint Treatment

Synovial chondromatosis is an uncommon disease of cartilaginous transformation of synovial membrane with formation of loose bodies within the joint space. A case involving the temporomandibular joint (TMJ) is presented. In the TMJ, this disorder occurs more often in females and is usually on the right side. Symptoms include preauricular swelling, pain, and tenderness. Radiographs of the TMJ may be normal, but frequently show multiple, partially calcified loose bodies within the joint. Treatment consists of removal of the loose bodies together with all affected synovium. If the meniscus is excised, reconstruction with a Silastic prosthesis is recommended.

scholarly journals Treatment of bilateral ankylosis of the temporomandibular joint with temporalis superficial fascia interpositional flap

2007 ◽  
Vol 19 (1) ◽  
Author(s):  
Harmas Yazid Yusuf ◽  
Alwin Kasim ◽  
Tis Karasutisna
Keyword(s):  
Temporomandibular Joint ◽  
Bone Fractures ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Early Mobilization ◽  
Sports Injury ◽  
Functional Results ◽  
Superficial Fascia ◽  
Skull Trauma ◽  
Base Of The Skull

Ankylosis of the temporomandibular joint (TMJ) involves fusion of the mandibular condyle to the base of the skull. Trauma and infection are the leading causes of ankylosis. A case of true bilateral ankylosis of the temporomandibular joint is presented. A 21-year-old male patient had a multiple bone fractures history at the age of 13 due to a sports injury. A TMJ injury might not be detected at that time resulting in a progressive restriction of his mouth opening. He presented with almost complete lack of mobility of the mandible. Surgical treatment was a resection of the ankylotic bone mass, interposition temporalis superficial fascia flaps, and early mobilization and aggressive physiotherapy. The functional results showed good remarks.

scholarly journals Intra- and extracapsular synovial chondromatosis of the temporomandibular joint: Rare case and review of the literature

2018 ◽  
Vol 6 ◽  
pp. 2050313X1877530 ◽  
Author(s):  
Henrik Holtmann ◽  
Thomas Böttinger ◽  
Norbert R Kübler ◽  
Daman D Singh ◽  
Christoph K Sproll ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Rare Case ◽  
Unusual Case ◽  
Synovial Chondromatosis ◽  
Benign Disease ◽  
Malignant Diseases ◽  
Review Of The Literature ◽  
Loose Bodies ◽  
Radiographic Findings ◽  
The Right

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.

Early diagnostics of temporomandibular joint structural elements injures caused by traumatic mandibular bone fractures

2017 ◽  
Vol 89 (3) ◽  
pp. 31-35 ◽  
Author(s):  
Kh. R. Pohranychna ◽  
A.R. Stasyshyn ◽  
U.D. Matolych
Keyword(s):  
Temporomandibular Joint ◽  
Bone Fractures ◽  
Tissue Injury ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Mandibular Fractures ◽  
Structural Elements ◽  
Magnetic Resonance Imaging Mri ◽  
Condylar Fractures ◽  
Joint Ankylosis

A rapidly increasing number of mandibular condylar fractures and some complications related to injuries of temporomandibular elements make this study important. Intra-articular disorders lead to secondary pathological findings such as osteoarthritis, deforming osteoarthrosis, and temporomandibular joint ankylosis that limits mouth opening, mastication, swallowing, breathing, and decreased/lost working capacity or disability. Early diagnosis of intra-articular disorders can prevent from long-lasting functional complications caused by temporomandibular joint injuries. This study was performed for the purpose of early detection and investigation of organic pathological changes in the cartilaginous and osseous tissues of the temporomandibular joint caused by traumatic fractures of the mandibular condyle. Twenty patients underwent a general clinical examination, magnetic resonance imaging (MRI), and immune-enzyme testing for biochemical markers of connective tissue injury (pyridinoline and deoxypyridinoline) in urine. Disk dislocation, deformation, adhesion, perforation or squeeze, tension or disruption of ligaments, and injury of articular surfaces are among complications of mandibular fractures that can be revealed on MRI. As regards biochemical findings, we revealed a sharp rise in the levels of pyridinoline and deoxypyridinoline before treatment and a lack of stabilization within 21 days of treatment.

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