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Arthroscopic Management of Synovial Chondromatosis of the Temporomandibular Joint. Case Series and Systematic Review

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Abstract

Aim

Synovial chondromatosis (SC) is a benign condition that is characterized by the formation of cartilaginous nodules within the synovial tissue of a joint that may detach and form loose bodies inside the articular space. The purpose of this study is to evaluate the use of surgical arthroscopy for the treatment of SC of the temporomandibular joint (TMJ).

Materials and Methods

A series of six patients treated with arthroscopy (one patient requiring an open arthrotomy due to the size of the loose bodies) in our centre between 1997 and 2016 is presented and results are discussed. A systematic review of the literature of patients with SC treated with arthroscopy or arthroscopy-assisted open arthrotomy is also carried out.

Results

Pain, which was the main symptom in our patients, and maximum mouth opening both improved significantly after surgical treatment. Three of the patients were diagnosed with primary SC, and the other 3 had a previous diagnosis of internal derangement. None of the patients showed signs of relapse during the follow-up period.

Conclusions

Surgical arthroscopy is a minimally invasive procedure that allows the extraction of loose bodies and even partial synovectomy of the affected membrane with good results and without recurrence of the disease. This technique can be useful in cases of SC with loose bodies measuring less than 3 mm or without extra-articular extension.

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Authors and Affiliations

  1. Resident of Oral and Maxillofacial Department, Hospital Universitario La Princesa, C/Diego de León 62, 28006, Madrid, Spain

    Philip James Brabyn & Ian Zylberberg

  2. Staff Surgeon of Oral and Maxillofacial Department, Hospital Universitario La Princesa, Madrid, Spain

    Ana Capote, Mario Fernando Muñoz-Guerra & Francisco J. Rodríguez-Campo

  3. Head of Oral and Maxillofacial Department, Hospital Universitario La Princesa, Madrid, Spain

    Luis Naval-Gías

Authors
  1. Philip James Brabyn
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  2. Ana Capote
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  3. Mario Fernando Muñoz-Guerra
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  4. Ian Zylberberg
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  5. Francisco J. Rodríguez-Campo
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  6. Luis Naval-Gías
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Correspondence to Philip James Brabyn.

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The authors declare that they have no conflict of interest

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Informed consent was obtained from all individual participants included in the study

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Brabyn, P.J., Capote, A., Muñoz-Guerra, M.F. et al. Arthroscopic Management of Synovial Chondromatosis of the Temporomandibular Joint. Case Series and Systematic Review. J. Maxillofac. Oral Surg. 17, 401–409 (2018). https://doi.org/10.1007/s12663-018-1102-7

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  • DOI: https://doi.org/10.1007/s12663-018-1102-7

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