1
|
Kanbour A, Hurrell M, Ricciardo P. Management of tenosynovial giant cell tumour of the temporomandibular joint: a systematic review. ANZ J Surg 2022; 93:869-875. [PMID: 37052058 DOI: 10.1111/ans.18186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 11/06/2022] [Accepted: 11/07/2022] [Indexed: 12/23/2022]
Abstract
Diffuse type tenosynovial giant cell tumour of the temporomandibular joint (D-TGCT-TMJ) is a rare proliferative disorder. The aim of this study was to perform a systematic review of the literature to summarize D-TGCT-TMJ management regimes and recurrence rates with at least 12 months of follow-up. Our secondary aim was to propose a minimum period of post-operative follow-up. A medline search for any D-TGCT-TMJ case detailing treatment, follow-up of at least 12 months, and presence of recurrence was undertaken. The following variables were extracted from the studies: patient's age and sex, presence of middle cranial fossa invasion, treatment undertaken, total length of follow-up, and presence of recurrence. All studies were assessed for bias as per the Joanna Briggs Institute systematic reviews appraisal tool. There were 63 cases reviewed and were predominantly managed with total resection (60.3%). Other modalities included: arthroplasty, subtotal resection with or without postoperative radiotherapy, medical therapy and surveillance. The recurrence rate was 9.52% and the longest follow-up period where recurrence was observed was at 60 months. Total resection and arthroplasty are common D-TGCT-TMJ management regimes. Patients with D-TGCT-TMJ should be followed up annually for at least 5 years postoperatively to assess for recurrence.
Collapse
Affiliation(s)
- Abdullah Kanbour
- Department of Oral and Maxillofacial Surgery Royal Perth Hospital Perth Western Australia Australia
| | - Michael Hurrell
- Department of Oral and Maxillofacial Surgery Royal Perth Hospital Perth Western Australia Australia
| | - Peter Ricciardo
- Department of Oral and Maxillofacial Surgery Royal Perth Hospital Perth Western Australia Australia
| |
Collapse
|
2
|
Hamel-Lemaire S, Fortin M, Avon SL. Pigmented villonodular synovitis of the temporomandibular joint: case report and literature review. J Oral Maxillofac Surg 2022; 80:1691-1704. [DOI: 10.1016/j.joms.2022.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 06/30/2022] [Accepted: 07/01/2022] [Indexed: 11/26/2022]
|
3
|
Nazal MR, Parsa A, Gibbs JS, Abraham PF, Martin SD. Mid-Term Results of Arthroscopic Synovectomy for Pigmented Villonodular Synovitis of the Hip. Arthroscopy 2020; 36:1587-1598. [PMID: 32061973 DOI: 10.1016/j.arthro.2020.01.059] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Revised: 01/22/2020] [Accepted: 01/31/2020] [Indexed: 02/02/2023]
Abstract
PURPOSE To analyze mid-term outcomes after arthroscopic synovectomy of both diffuse and nodular hip pigmented villonodular synovitis (PVNS). METHODS This is a retrospective case series of patients that underwent hip arthroscopy for hip PVNS with a single senior surgeon between 2007 and 2016. Inclusion criteria were magnetic resonance imaging evidence, arthroscopic visualization, and/or histologic confirmation of PVNS; and a minimum of 3 years of follow-up. Concomitant pathology such as femoroacetabular impingement also was treated at the time of surgery. Primary outcome measures were recurrence of hip PVNS and the rate of revision hip surgery. Secondary outcomes were complications, visual analog scale pain score, pain relief, and patient satisfaction, and 6 patient-reported outcome measures were collected at latest follow-up. RESULTS In a case series of 14 patients consisting of 6 (42.9%) male and 8 (57.1%) female patients, the mean operative age was 32.69 ± 12.73 years with a mean follow-up was 6.66 ± 1.87 years. PVNS type was determined intraoperatively: 5 (35.7%) patients had diffuse hip PVNS and 9 (64.3%) had nodular type. There was only 1 case (7.14%) of recurrence that was treated arthroscopically and no cases (0%) progressed to revision open synovectomy or arthroplasty. Mean patient-reported outcome measure scores were notable for a modified Harris Hip Score of 74.08 ± 16.84. The mean visual analog scale pain score decreased by 4.9 ± 1.7, which was significant with a P < .001, with a larger decrease in patients with localized type. CONCLUSIONS This study presents a large case series of hip PVNS managed arthroscopically with mid-term follow-up of slightly over 6.5 years. The survival rate was 93%, with only 1 (7%) recurrence and 0 (0%) progression to revision open synovectomy or arthroplasty with 0 (0%) complications. We conclude that arthroscopic synovectomy is a reliable and effective treatment of hip PVNS. LEVEL OF EVIDENCE Case Series, Level IV.
Collapse
Affiliation(s)
- Mark R Nazal
- Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General Hospital, Partners Heath System, Boston, Massachusetts, U.S.A
| | - Ali Parsa
- Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General Hospital, Partners Heath System, Boston, Massachusetts, U.S.A.; Orthopedic Research Center, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran.
| | - Jada S Gibbs
- Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General Hospital, Partners Heath System, Boston, Massachusetts, U.S.A
| | - Paul F Abraham
- Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General Hospital, Partners Heath System, Boston, Massachusetts, U.S.A
| | - Scott D Martin
- Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General Hospital, Partners Heath System, Boston, Massachusetts, U.S.A
| |
Collapse
|
4
|
Brant JA, Kaufman AC, Luu N, Grady SM, O Apos Malley BW, Ruckenstein MJ. Pigmented Villonodular Synovitis Presenting as Unilateral Hearing Loss: Review of the Literature and Case Report. ORL J Otorhinolaryngol Relat Spec 2019; 81:171-182. [PMID: 31242479 DOI: 10.1159/000499473] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Accepted: 03/08/2019] [Indexed: 11/19/2022]
Abstract
BACKGROUND/AIMS To review the existing literature on pigmented villonodular synovitis (PVNS) of the temporomandibular joint (TMJ) and report a rare case of PVNS of the TMJ presenting with unilateral hearing loss. METHODS Review of the existing literature and a description of personal experience with PVNS of the TMJ presenting with unilateral hearing loss. RESULTS Review of the existing literature revealed 76 reported cases of PVNS of the TMJ. The most common presenting symptom was of a slowly enlarging mass or swelling of the preauricular area, with dysfunctional TMJ also frequently reported. All patients underwent surgical excision with some pursuing radiation as adjuvant therapy. Presented Patient: A 46-year-old man presented with several months of unilateral subjective hearing loss and aural fullness. Imaging revealed a mass centered along the superior TMJ with expansion through the squamous temporal bone and extra-axial intracranial extension into the middle cranial fossa. Imaging characteristics and fine-needle aspiration biopsy were consistent with PVNS. INTERVENTION The patient underwent near-total excision of the mass via frontotemporal craniectomy and lateral temporal bone resection. FOLLOW-UP At the 16-month follow-up there was no evidence of disease recurrence. CONCLUSION PVNS of the TMJ represents a rare entity that can present with a variety of symptoms including unilateral hearing loss.
Collapse
Affiliation(s)
- Jason A Brant
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Adam C Kaufman
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA,
| | - Neil Luu
- Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Sean M Grady
- Department of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Bert W O Apos Malley
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Michael J Ruckenstein
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| |
Collapse
|
5
|
Treatments of tenosynovial giant cell tumours of the temperomandibular joint: a report of three cases and a review of literature. Int J Oral Maxillofac Surg 2018; 47:1288-1294. [DOI: 10.1016/j.ijom.2018.04.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2017] [Revised: 01/10/2018] [Accepted: 04/06/2018] [Indexed: 12/31/2022]
|
6
|
Abstract
Giant cell rich lesions of the temporal bone encompass a wide spectrum of disease that includes infectious, reactive, and neoplastic processes. When dealing with any lesion that can potentially involve bone, it is important to understand both the clinical presentation and to correlate the histologic findings with the radiologic imaging. This review discusses the clinical, the pathologic features including the differential diagnosis, and the treatment of some of the more commonly encountered giant cell rich entities in this region.
Collapse
|
7
|
Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension. J Craniofac Surg 2016; 26:e115-8. [PMID: 25699525 DOI: 10.1097/scs.0000000000001341] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Pigmented villonodular synovitis is an uncommon benign tumor-like proliferative lesion with an undetermined origin. Involvement of the temporomandibular joint is uncommon. Although pigmented villonodular synovitis is a benign lesion, it can grow with an aggressive pattern, and it extends extra-articularly in most of the reported cases, about one-third of them exhibiting intracranial involvement. The authors reported an additional case of a 47-year-old woman with intracranial extension, who had a history of joint pain and trismus. The preoperative diagnosis was made with arthroscopy. The lesion was completely excised via preauricular approach and condylotomy. The bone defect was covered by the pedicled temporalis myofascial fat flap. The patient has been symptom-free for 40 months postoperatively.
Collapse
|
8
|
Damodar D, Chan N, Kokot N. Pigmented villonodular synovitis of the temporomandibular joint: Case report and review of the literature. Head Neck 2015; 37:E194-9. [DOI: 10.1002/hed.24056] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2014] [Accepted: 03/22/2015] [Indexed: 11/06/2022] Open
Affiliation(s)
- Dhanur Damodar
- Department of Otolaryngology; University of Southern California, Keck School of Medicine; Los Angeles California
| | - Nadia Chan
- Department of Otolaryngology; University of Southern California, Keck School of Medicine; Los Angeles California
| | - Niels Kokot
- Department of Otolaryngology; University of Southern California, Keck School of Medicine; Los Angeles California
| |
Collapse
|
9
|
Joshi K, Huang B, Scanga L, Buchman C, Chera BS. Postoperative radiotherapy for diffuse pigmented villonodular synovitis of the temporomandibular joint. Am J Otolaryngol 2015; 36:106-13. [PMID: 25459320 DOI: 10.1016/j.amjoto.2014.10.017] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Accepted: 10/10/2014] [Indexed: 12/12/2022]
Abstract
BACKGROUND Pigmented villonodular synovitis (PVNS) is a rare/benign condition of the synovial joint lining. It most commonly presents in the knee but has also been reported to occur in the temporomandibular joint (TMJ). Although there are several series reporting the use of postoperative radiotherapy (PORT) for extremity PVNS, there is scant literature on the use of PORT for PVNS of the TMJ. METHODS We conducted a literature review for case reports related to PVNS of the TMJ and discuss two additional cases treated with surgery and PORT. RESULTS 71 cases were found in the literature. 89% were the diffuse subtype. 92% had primary surgery and 7% had PORT. 68% were locally controlled. Both patients treated at our institution are locally controlled. CONCLUSIONS PVNS of the TMJ is a rare entity. Surgery is the mainstay of treatment but PORT may be useful for local control of extensive tumors or positive margins.
Collapse
Affiliation(s)
| | - Benjamin Huang
- Department of Radiology, University of North Carolina, Chapel Hill, NC
| | - Lori Scanga
- Department of Pathology, University of North Carolina, Chapel Hill, NC
| | - Craig Buchman
- Department of Otolaryngology, Head and Neck Surgery, University of North Carolina, Chapel Hill, NC
| | - Bhishamjit S Chera
- Department of Radiation Oncology, University of North Carolina, Chapel Hill, NC; Linebeger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC.
| |
Collapse
|
10
|
Safaee M, Oh T, Sun MZ, Parsa AT, McDermott MW, El-Sayed IH, Bloch O. Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension: A case series and systematic review. Head Neck 2014; 37:1213-24. [PMID: 24764167 DOI: 10.1002/hed.23717] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2013] [Revised: 01/15/2014] [Accepted: 04/21/2014] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND Pigmented villonodular synovitis (PVNS) is a rare proliferative disorder of the synovial membrane. PVNS generally affects large joints but occasionally involves the temporomandibular joint (TMJ), with occasional extension into the middle cranial fossa. The purpose of this study was to report our experience with PVNS along with a focused literature review. METHODS Patients with PVNS of the TMJ treated at the University of California - San Francisco from 2007 to 2013 were reviewed. A PubMed search was performed to identify additional cases. RESULTS Five patients underwent surgical resection, with 1 recurrence at 61 months. A literature review identified 58 patients, 19 of which had intracranial involvement. Interestingly, intracranial extension was more common in men. Intracranial extension was not associated with an increased rate of recurrence. CONCLUSION PVNS of the TMJ is a rare entity associated with excellent outcomes, even with intracranial extension. Management should consist of maximal resection, with radiotherapy reserved for extensive or recurrent lesions.
Collapse
Affiliation(s)
- Michael Safaee
- Department of Neurological Surgery, University of California - San Francisco, San Francisco, California
| | - Taemin Oh
- Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois
| | - Matthew Z Sun
- Department of Neurological Surgery, University of California - San Francisco, San Francisco, California
| | - Andrew T Parsa
- Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois
| | - Michael W McDermott
- Department of Neurological Surgery, University of California - San Francisco, San Francisco, California
| | - Ivan H El-Sayed
- Department of Otolaryngology - Head and Neck Surgery, University of California - San Francisco, San Francisco, California
| | - Orin Bloch
- Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois
| |
Collapse
|
11
|
Giannakopoulos H, Chou JC, Quinn PD. Pigmented villonodular synovitis of the temporomandibular joint. EAR, NOSE & THROAT JOURNAL 2014; 92:E10-3. [PMID: 23904309 DOI: 10.1177/014556131309200714] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Pigmented villonodular synovitis (PVNS) is a proliferative disorder that affects synovium-lined joints, bursae, and tendon sheaths. It appears in both diffuse and localized forms, depending on the extent of synovial involvement. PVNS rarely involves the temporomandibular joint (TMJ); when it does, it manifests clinically as a slowly growing and painless preauricular mass that resembles a parotid tumor. TMJ dysfunction, paresthesia, and/or hearing loss can result. We present a case of a large extra-articular PVNS of the TMJ, and we review the literature.
Collapse
Affiliation(s)
- Helen Giannakopoulos
- Department of Oral and Maxillofacial Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
| | | | | |
Collapse
|
12
|
Pigmented villonodular synovitis of the temporomandibular joint: a case report and the literature review. Int J Oral Maxillofac Surg 2011; 40:1314-22. [DOI: 10.1016/j.ijom.2011.03.003] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2010] [Revised: 01/23/2011] [Accepted: 03/02/2011] [Indexed: 11/23/2022]
|
13
|
Liu YK, Chan JY, Chang CJ, Huang JS. Pigmented villonodular synovitis of the temporomandibular joint presenting as a middle cranial fossa tumor. J Oral Maxillofac Surg 2011; 70:367-72. [PMID: 21741744 DOI: 10.1016/j.joms.2011.02.031] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2010] [Revised: 02/01/2011] [Accepted: 02/04/2011] [Indexed: 11/24/2022]
Affiliation(s)
- Yuan-Kai Liu
- Department of Neurosurgery, Cathay General Hospital, Taipei, Taiwan
| | | | | | | |
Collapse
|
14
|
Pigmented villonodular synovitis of the temporomandibular joint: case report and review of the literature. ACTA ACUST UNITED AC 2011; 111:e17-28. [PMID: 21310347 DOI: 10.1016/j.tripleo.2010.11.019] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2010] [Revised: 10/31/2010] [Accepted: 11/26/2010] [Indexed: 02/06/2023]
Abstract
Pigmented villonodular synovitis (PVNS) is an aggressive proliferative lesion that usually involves the synovial tissues of big joints. To date, there are ∼52 cases of PVNS affecting the temporomandibular joint reported in the English-language literature, about one-third of them exhibiting intracranial involvement. We herein describe an additional case of PVNS of the temporomandibular joint with skull base invasion affecting a 26-year-old male patient and discuss its clinicopathologic features considering previously published cases. Histopathology and imaging evaluation are important for the diagnosis of PVNS, which should be included in the differential diagnosis of preauricular aggressive swellings.
Collapse
|
15
|
Arthroscopic management of intra-articular pigmented villonodular synovitis of temporomandibular joint. Int J Oral Maxillofac Surg 2011; 40:150-4. [DOI: 10.1016/j.ijom.2010.09.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2010] [Revised: 07/05/2010] [Accepted: 09/13/2010] [Indexed: 11/23/2022]
|
16
|
Herman C, Swift J, Schiffman E. Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension: a case and literature review. Int J Oral Maxillofac Surg 2009; 38:795-801. [DOI: 10.1016/j.ijom.2009.02.013] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2008] [Revised: 10/24/2008] [Accepted: 02/09/2009] [Indexed: 11/29/2022]
|
17
|
Cascone P, Rinna C, Ungari C, Poladas G, Giulio P, Filiaci F. Pigmented Villonodular Synovitis of the Temporomandibular Joint. J Craniofac Surg 2005; 16:712-6. [PMID: 16077324 DOI: 10.1097/01.scs.0000159085.67672.2d] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Pigmented villonodular synovitis (PVNS) is a relatively rare disease, affecting the synovial-lined joints. PVNS was first fully described by Jaffè in 1941, who considered it to be a benign inflammatory state of the synovium of an uncertain etiology. Reports of this disease in the temporomandibular joint (TMJ) are extremely rare. The authors report a case of a 38-year-old woman affected by pigmented villonodular synovitis of the TMJ. Clinical examination revealed the presence of a preauricular mass in the left side; a computed tomography scan showed a 3.0 x 2.0 cm preauricular mass in close continuity to the TMJ capsule. The purpose of this report is to describe the clinicopathological features of a case involving the TMJ. The previously reported cases in the literature are also reviewed.
Collapse
Affiliation(s)
- Piero Cascone
- Department of Maxillo-Facial Surgery, University of Rome La Sapienza, Rome, Italy
| | | | | | | | | | | |
Collapse
|
18
|
Tosun F, Carrau RL, Weissman J. Pigmented villonodular synovitis of the temporomandibular joint: an extensive case with skull-base involvement. Am J Otolaryngol 2004; 25:204-7. [PMID: 15124172 DOI: 10.1016/j.amjoto.2003.11.006] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Pigmented villonodular synovitis (PVNS) is a benign lesion of unclear etiology involving the synovial membranes of joints, bursae, and tendon sheaths. Its occurrence in temporomandibular joint (TMJ) is distinctly rare. Despite its benign nature, PVNS is locally destructive to the surrounding structures. Misdiagnosis and delay in diagnosis contribute to the frequency of tumors presenting at an advanced stage at the time of treatment. Thus, PVNS often requires extensive surgery. A case of PVNS of the left TMJ, involving the left infratemporal fossa and subtemporal cranial base, is presented herein. Preoperative computerized tomography, magnetic resonance imaging, and fine-needle aspiration biopsy were used to establish a presumptive diagnosis and to determine the extent of the lesion. Complete excision of the lesion through an infratemporal fossa approach has provided 7 years of a disease-free period with adequate preservation of function.
Collapse
Affiliation(s)
- Fuat Tosun
- Department of Otolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey
| | | | | |
Collapse
|
19
|
Aoyama S, Iwaki H, Amagasa T, Kino K, Okada N, Kishimoto S. Pigmented villonodular synovitis of the temporomandibular joint: differential diagnosis and case report. Br J Oral Maxillofac Surg 2004; 42:51-4. [PMID: 14706302 DOI: 10.1016/s0266-4356(03)00193-1] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Pigmented villonodular synovitis of the temporomandibular joint (TMJ) is rare. We present a patient in whom the lesion had invaded the infratemporal fossa and destroyed the mandibular condyle.
Collapse
Affiliation(s)
- S Aoyama
- Maxillofacial Surgery, Maxillofacial Reconstruction and Function, Division of Maxillofacial and Neck Reconstruction, Graduate School, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.
| | | | | | | | | | | |
Collapse
|
20
|
Church CA, Rowe M, Llaurado R, Liwnicz BH, Martin PA. Pigmented Villonodular Synovitis of the Temporomandibular Joint: A Report of Two Cases. EAR, NOSE & THROAT JOURNAL 2003. [DOI: 10.1177/014556130308200911] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Pigmented villonodular synovitis is a benign but locally destructive disease that originates in the synovial membranes of the joints. It is a proliferative disorder of unknown etiology, and it is usually monarthric. Approximately 80% of cases involve the knee; the hip, ankle, foot, hand, elbow, and shoulder account for most other cases. Pigmented villonodular synovitis in the temporomandibular joint is rare. When it does occur, its features include preauricular swelling, trismus, and symptoms of temporomandibular joint dysfunction. It can be diagnosed by a combination of the history, clinical examination, characteristic radiologic findings, and fine-needle aspiration or biopsy results. Wide local excision, including the involved bone, and a total synovectomy are advocated because the lesion can recur if it is not adequately excised. We report two new cases of pigmented villonodular synovitis of the temporomandibular joint, and we review the literature on this subject.
Collapse
Affiliation(s)
- Christopher A. Church
- Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, Loma Linda (Calif.) University
| | - Mark Rowe
- Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, Loma Linda (Calif.) University
| | - Raymund Llaurado
- Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, Loma Linda (Calif.) University
| | - Boleslaw H. Liwnicz
- Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, Loma Linda (Calif.) University
| | - Paul A. Martin
- Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, Loma Linda (Calif.) University
| |
Collapse
|
21
|
Shapiro SL, McMenomey SO, Alexander P, Schmidt WA. Fine-needle aspiration biopsy diagnosis of "invasive" temporomandibular joint pigmented villonodular synovitis. Arch Pathol Lab Med 2002; 126:195-8. [PMID: 11825117 DOI: 10.5858/2002-126-0195-fnabdo] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The clinical and aspiration cytologic details of a case of temporomandibular joint pigmented villonodular synovitis are presented and correlated with imaging, surgical, histopathologic, and clinical follow-up findings; the origin of such lesions is discussed. The lesion originally presented in a 36-year-old, otherwise healthy, white man as a unilateral mass involving the temporal fossa and temporomandibular joint region. The tumor's extent was defined by magnetic resonance imaging and computed tomographic scan; there was destruction of the temporomandibular joint and erosion of the temporal cranial bones by a lesion whose maximum dimensions were estimated by imaging to be 2.75 x 3.25 cm. The lesion was initially sampled and classified by computed tomography-guided fine-needle aspiration biopsy. Following complete resection, the original diagnosis was confirmed with both hematoxylin-eosin-stained paraffin sections and immunohistochemical staining. The patient remains free of disease 7 years postoperatively.
Collapse
Affiliation(s)
- Steven L Shapiro
- Department of Pathology, School of Medicine, Oregon Health Sciences University, Portland, Oregon, USA
| | | | | | | |
Collapse
|
22
|
Kişnişci RS, Tüz HH, Günhan O, Onder E. Villonodular synovitis of the temporomandibular joint: case report. J Oral Maxillofac Surg 2001; 59:1482-4. [PMID: 11732040 DOI: 10.1053/joms.2001.28289] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- R S Kişnişci
- Oral and Maxillofacial Surgery, Ankara University, Dental Faculty, Department of Oral and Maxillofacial Surgery, Ankara, Turkey.
| | | | | | | |
Collapse
|
23
|
Extra-articular pigmented villonodular synovitis of the temporomandibular joint: case report and review of the literature. Int J Oral Maxillofac Surg 2000. [DOI: 10.1016/s0901-5027(00)80070-3] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
|
24
|
Stojadinovic S, Reinert S, Wildförster U, Jundt G. Destruction of the glenoid joint fossa by a tenosynovial giant-cell tumour of the skull base: a case report. Int J Oral Maxillofac Surg 1999. [DOI: 10.1016/s0901-5027(99)80205-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
25
|
Chow LT, Kumta SM, King WW. Extra-articular pigmented villonodular synovitis of the temporomandibular joint. J Laryngol Otol 1998; 112:182-5. [PMID: 9578883 DOI: 10.1017/s0022215100140265] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Pigmented villonodular synovitis, a benign but locally destructive fibrohistiocytic proliferative lesion involving tendon sheaths, bursae and diarthrodial joints, is distinctly rare in the temporomandibular joint. We report one such case occurring in a 42-year-old housewife who presented with a progressively enlarging right zygomatic mass for six months. On exploration, an orange-brown firm mass, 5 x 3 x 2 cm, was seen adherent to the lateral aspect of the capsule of the right temporomandibular joint, and eroding into the inferior aspect of the right temporal bone and part of the mandibular condyle. The mass was completely excised. Pathological examination showed features typical of those of pigmented villonodular synovitis and the lesion was entirely extra-articular in location. The patient remained well with no evidence of local recurrence two years after operation. Review of the literature and careful analysis of the clinicopathological features showed that the vast majority of the reported cases of pigmented villonodular synovitis of the temporomandibular joint belonged to the extra-articular variant, which is associated with a more aggressive local infiltrative behaviour and higher rate of local recurrence than the localized type. The recommended treatment for this condition is therefore wide local excision, aiming to remove the lesion as completely as possible without producing severe disability for the patient.
Collapse
Affiliation(s)
- L T Chow
- Department of Anatomical, Prince of Wales Hospital, Hong Kong
| | | | | |
Collapse
|
26
|
Allias-Montmayeur F, Durroux R, Dodart L, Combelles R. Tumours and pseudotumorous lesions of the temporomandibular joint: a diagnostic challenge. J Laryngol Otol 1997; 111:776-81. [PMID: 9327024 DOI: 10.1017/s0022215100138617] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Tumours and pseudotumorous lesions originating from the synovial membrane of the temporomandibular joint are rare. We report a series of six cases of such disorders. There were two cases of synovial chondromatosis, two of calcium pyrophosphate dihydrate crystal deposition disease, one nodular synovitis and one synovial sarcoma. Three patients were female and three were male. Their ages ranged from 36 to 70 years. All had atypical clinical and radiographical presentation. The prevalence, clinical and radiographical findings and pathological features of each disease entity are discussed and a review of the literature is made concerning all tumours and pseudotumours arising from the temporomandibular joint.
Collapse
Affiliation(s)
- F Allias-Montmayeur
- Laboratoire d'Anatomie et Cytologie Pathologiques, Centre Hospitalier, Toulouse, France
| | | | | | | |
Collapse
|
27
|
Yu GH, Staerkel GA, Kershisnik MM, Varma DG. Fine-needle aspiration of pigmented villonodular synovitis of the temporomandibular joint masquerading as a primary parotid gland lesion. Diagn Cytopathol 1997; 16:47-50. [PMID: 9034737 DOI: 10.1002/(sici)1097-0339(199701)16:1<47::aid-dc11>3.0.co;2-b] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The fine-needle aspiration findings in a case of pigmented villonodular synovitis of the temporomandibular joint are presented. The characteristic cytomorphologic and clinical features of this uncommon, benign fibrohistiocytic lesion are discussed. In addition, due to the initial clinical impression of a primary parotid gland lesion, the differential diagnosis for the cytomorphologic features observed (histiocytoid cells admixed with osteoclast-like giant cells) are discussed within the context of a primary salivary gland mass.
Collapse
Affiliation(s)
- G H Yu
- Department of Pathology, Northwestern Memorial Hospital, Chicago, IL 60611, USA
| | | | | | | |
Collapse
|
28
|
Youssef RE, Roszkowski MJ, Richter KJ. Pigmented villonodular synovitis of the temporomandibular joint. J Oral Maxillofac Surg 1996; 54:224-7. [PMID: 8604077 DOI: 10.1016/s0278-2391(96)90454-1] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- R E Youssef
- Veterans Administration Medical Center, Minneapolis, MN 55417, USA
| | | | | |
Collapse
|
29
|
Larheim TA. Current trends in temporomandibular joint imaging. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1995; 80:555-76. [PMID: 8556465 DOI: 10.1016/s1079-2104(05)80154-4] [Citation(s) in RCA: 122] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Diagnostic imaging of the temporomandibular joint has undergone a revolutionary development during the last two decades. With advanced modalities we have been able to differentiate between different articular entities in patients with temporomandibular joint disorders. The purpose of this article is to review and discuss these modalities and their contribution to our present knowledge, with emphasis made on current trends in diagnostic temporomandibular joint imaging. The main section deals with diagnostic imaging of the subgroup of disorders with internal derangement caused by disk displacement including posttreatment imaging. Imaging of pathologic entities characterized by chronic inflammation such as rheumatoid arthritis are discussed in the second section. Finally, the potential of diagnostic imaging of infrequent conditions such as tumors is briefly reviewed. Magnetic resonance imaging has surpassed arthrography and computed tomography for the evaluation of most patients in these three subgroups. In patients who have various forms of disk displacements with or without accompanying bone abnormalities, a diagnostic accuracy of at least 90% may be achieved by oblique sagittal and coronal magnetic resonance imaging. In addition, alterations in the condylar marrow may be detected. T2-weighted magnetic resonance imaging can make a significant diagnostic contribution by demonstrating inflammatory reactions such as joint effusion and marrow edema. In the subgroup of patients with chronic inflammatory diseases, magnetic resonance imaging may also demonstrate abnormalities not shown with other imaging modalities. Disk deformation, fragmentation, and destruction may indirectly suggest the presence of synovial proliferation/pannus formation, which in selected cases may be directly depicted with intravenous gadopentetate dimeglumine. For more detailed evaluation of the bone condition and of soft tissue calcifications in joints with inflammatory diseases, tumors, or other disorders, computed tomography is the preferable imaging modality.
Collapse
Affiliation(s)
- T A Larheim
- Department of Oral Radiology, Faculty of Dentistry, University of Oslo, Norway
| |
Collapse
|
30
|
Franchi A, Frosini P, Santoro R. Pigmented villonodular synovitis of the temporomandibular joint: report of a case. J Laryngol Otol 1994; 108:166-7. [PMID: 8163924 DOI: 10.1017/s0022215100126192] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Pigmented villonodular synovitis is a benign reactive process of the synovial tissue, that usually involves the knee or other major joints. Reports of this entity in the temporomandibular joint are rare. The authors describe a case involving this joint, initially clinically diagnosed as a parotid tumour.
Collapse
Affiliation(s)
- A Franchi
- Institute of Anatomic Pathology, University of Florence, Italy
| | | | | |
Collapse
|
31
|
Syed A, van Hasselt CA, To KF. Pigmented villonodular synovitis of the temporomandibular joint. J Laryngol Otol 1993; 107:853-4. [PMID: 8228609 DOI: 10.1017/s0022215100124624] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The first case of pigmented villonodular synovitis of the temporomandibular joint in a Chinese patient is reported. The clinicopathological features are described and the presentation as a parotid mass is emphasized. This rare tumour requires a high clinical suspicion for diagnosis. For removal, meticulous dissection of tumour and facial nerve is necessary.
Collapse
Affiliation(s)
- A Syed
- Division of Otorhinolaryngology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T
| | | | | |
Collapse
|