Journal of Korean Dental Association

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CASE REPORT
J Korean Dent Assoc. 2021;59(12):734-740. Published online November 30, 2021.
DOI: https://doi.org/10.22974/jkda.2021.59.12.004
두개저까지 확장된 측두하악관절의 윤활막 연골종증의 희귀 증례
홍기은1  , 박 준1  , 윤지언1  , 김정한1  , 김철훈1  , 한송희2  , 김복주1 
1동아대학교 의과대학 구강악안면외과학교실
2동아대학교 의과대학 병리학교실
A rare case of temporomandibular joint synovial chondromatosis with cranial base extension
Ki-Eun Hong1  , Jun Park1  , Ji-Eon Yun1  , Jung-Han Kim1  , Chul-Hoon Kim1  , Song-Hee Han2  , Bok-joo Kim1 
1Department of Oral and Maxillofacial Surgery, College of Medicine, Dong-A University
2Department of Pathology, College of Medicine, Dong-A University
Corresponding author: Bok-joo Kim  Tel: +82-51-240-5470,  Fax: +82-51-241-5475,  Email: omsbjkim@dau.ac.kr
Received: August 30, 2021; Revised: September 30, 2021   Accepted: October 6, 2021.
Abstract
Synovial chondromatosis is an uncommon benign lesion in which the synovial membrane within the joint forms cartilaginous nodules and loose bodies due to cartilaginous metaplasia. It is rare to develop in the temporomandibular joint, and may be accompanied by cranial base expansion or temporal bone morbidity. A 41-year-old male patient visited our hospital complaining of preauricular pain and crepitus. On CT and MRI, increased synovial fluid in the joint cavity, loose body, temporal bone erosion and cranial base expansion were observed. It was diagnosed as synovial chondromatosis through imaging and clinical symptoms. After arthrocentesis, the symptoms slightly decreased, and arthrotomy was performed for complete resolution of the pain. The patient's pain and crepitus were resolved, and no recurrence of the lesion was observed.

Keywords :temporomandibular joint; synovial chondromatosis

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