Synovial osteochondromatosis of temporomandibular joint: Diagnosis and management

Abstract

Introduction: Synovial osteochondromatosis is a rare disease related to pathological changes involving joints' synovium. In 60% it concerns knee joint. In temporomandibular joint this diagnosis has been recorded in only few international medical centres. Case report: In the study, a case of 31 years old woman who reported to the Maxillofacial Surgery Ward of 10th Military Research Hospital and Policlynic in Bydgoszcz, is presented. Main symptoms were tumor in the left temporomandibular joint area occuring for past 7 years, followed by swelling and pain. In the process of diagnostics and treatment multiple radiological imaging were involved. Also a surgical procedure was performed which included open revision and articular cavity lavage of the left temporomandibular joint. Conclusions: Treatment results, short-term, long-term observation and retrospecitve analysis show the way and dynamics of described condition development, benefits from surgical intervention as well as risk of recurrence.