PDF(Pubmed)
Abstract：
UNASSIGNED: Synovial chondromatosis of the temporomandibular joint (TMJ) is characterized by the formation of multiple nodules of cartilage with varying sizes due to metaplastic development of the synovial membrane. Aetiology revolves with primary lesion, and pathogenesis is still unknown with multiple factors, which includes low-grade trauma or internal derangement. This condition remains undiagnosed and leads to therapeutic challenges from clinical manifestations which are non-specific and needs various tools to diagnose with combination of radiologic and histopathological examination.
UNASSIGNED: We report a case series of five cases which were diagnosed as cases of TMD of the temporomandibular joint. Diagnostic arthroscopy including lysis and lavage with Ringers lactate, hyaluronic acid was carried out. Intra-operative findings were suggestive of synovial chondromatosis. Sample taken for histopathological examination confirmed the diagnosis of synovial chondromatosis of TMJ. Postoperative status of mouth opening and pain was assessed at 15 days, one month, 3 months, 6 months and one year during the review to evaluate the success of arthroscopy of TMJ.
UNASSIGNED: All patients reported success with the modality of arthroscopy lysis and lavage at 12 months of follow-up with improvement at every follow-up visit in terms of range of motion and reduction of pain score on VAS. Hence, arthroscopy with lysis and lavage came out to be a promising alternative for open joint surgery in cases of synovial chondromatosis of the TMJ with same outcomes in relieving patients who complain of reduced maximum inter-incisal opening and pain.
UNASSIGNED: Thus, arthroscopic procedures can be considered an alternative and effective modality for successful management of cases of synovial chondromatosis of temporomandibular joint.
UNASSIGNED: We report a case series of five cases which were diagnosed as cases of TMD of the temporomandibular joint. Diagnostic arthroscopy including lysis and lavage with Ringers lactate, hyaluronic acid was carried out. Intra-operative findings were suggestive of synovial chondromatosis. Sample taken for histopathological examination confirmed the diagnosis of synovial chondromatosis of TMJ. Postoperative status of mouth opening and pain was assessed at 15 days, one month, 3 months, 6 months and one year during the review to evaluate the success of arthroscopy of TMJ.
UNASSIGNED: All patients reported success with the modality of arthroscopy lysis and lavage at 12 months of follow-up with improvement at every follow-up visit in terms of range of motion and reduction of pain score on VAS. Hence, arthroscopy with lysis and lavage came out to be a promising alternative for open joint surgery in cases of synovial chondromatosis of the TMJ with same outcomes in relieving patients who complain of reduced maximum inter-incisal opening and pain.
UNASSIGNED: Thus, arthroscopic procedures can be considered an alternative and effective modality for successful management of cases of synovial chondromatosis of temporomandibular joint.
摘要：
UNASSIGNED：颞下颌关节（TMJ）的滑膜软骨瘤病的特征是由于滑膜的化生发育而形成大小不同的多个软骨结节。病因与原发病变有关，多因素的发病机制尚不清楚，包括低级创伤或内部紊乱。这种情况仍未诊断，并导致非特异性临床表现的治疗挑战，需要各种工具来结合放射学和组织病理学检查进行诊断。
UNASSIGNED：我们报告了一个病例系列，其中5例被诊断为颞下颌关节TMD。诊断性关节镜检查包括用Ringers乳酸溶解和灌洗，进行透明质酸。术中发现提示滑膜软骨瘤病。组织病理学检查的样本证实了TMJ滑膜软骨瘤病的诊断。术后15天评估张口和疼痛的状态，一个月,3个月,6个月和1年期间复查评价关节镜对颞下颌关节的成功。
UNASSIGNED：所有患者在随访12个月时报告关节镜松解术和灌洗方式成功，每次随访时在运动范围和VAS疼痛评分方面均有所改善。因此，在TMJ滑膜软骨瘤病的情况下，关节镜下的松解术和灌洗术是开放关节手术的一种有希望的替代方法，在缓解抱怨最大切口间开放和疼痛减少的患者方面具有相同的效果。
未经批准：因此，关节镜手术可以被认为是成功治疗颞下颌关节滑膜软骨瘤病的另一种有效方法。
UNASSIGNED：我们报告了一个病例系列，其中5例被诊断为颞下颌关节TMD。诊断性关节镜检查包括用Ringers乳酸溶解和灌洗，进行透明质酸。术中发现提示滑膜软骨瘤病。组织病理学检查的样本证实了TMJ滑膜软骨瘤病的诊断。术后15天评估张口和疼痛的状态，一个月,3个月,6个月和1年期间复查评价关节镜对颞下颌关节的成功。
UNASSIGNED：所有患者在随访12个月时报告关节镜松解术和灌洗方式成功，每次随访时在运动范围和VAS疼痛评分方面均有所改善。因此，在TMJ滑膜软骨瘤病的情况下，关节镜下的松解术和灌洗术是开放关节手术的一种有希望的替代方法，在缓解抱怨最大切口间开放和疼痛减少的患者方面具有相同的效果。
未经批准：因此，关节镜手术可以被认为是成功治疗颞下颌关节滑膜软骨瘤病的另一种有效方法。
