تقرير
Functional Reconstruction of Temporomandibular Joint after Resection of Pigmented Villonodular Synovitis with Extension to Infratemporal Fossa and Skull Base: A Case Report.
| العنوان: | Functional Reconstruction of Temporomandibular Joint after Resection of Pigmented Villonodular Synovitis with Extension to Infratemporal Fossa and Skull Base: A Case Report. |
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| المؤلفون: | Vellutini EAS; Department of Neurosurgery, DFV Neuro, São Paulo, Brazil., Alonso N; Department of Plastic Surgery, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil., Arap SS; Department of Head and Neck Surgery, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil., Godoy LFS; Radiology Service, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil., Souza E Souza RA; Department of Pathology, Hospital Sírio Libanês, São Paulo, Brazil., Mattedi RL; Department of Pathology, Hospital Sírio Libanês, São Paulo, Brazil., de Oliveira MF; Department of Neurosurgery, DFV Neuro, São Paulo, Brazil. |
| المصدر: | Surgery journal (New York, N.Y.) [Surg J (N Y)] 2016 Aug 10; Vol. 2 (3), pp. e78-e82. Date of Electronic Publication: 2016 Aug 10 (Print Publication: 2016). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Thieme Medical Publishers Country of Publication: United States NLM ID: 101695022 Publication Model: eCollection Cited Medium: Print ISSN: 2378-5128 (Print) Linking ISSN: 23785128 NLM ISO Abbreviation: Surg J (N Y) Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Thieme Medical Publishers, [2015]- |
| مستخلص: | Introduction Pigmented villonodular synovitis (PVNS) is a benign but aggressive lesion arising from sinovia. The temporomandibular joint (TMJ) is hardly ever involved. Methods We describe a case of PVNS arising in the left TMJ involving infratemporal fossa soft tissue and the skull base; we also present the reconstruction. Results A 37-year-old woman had progressive mandibular swelling for 6 months. Computed tomography of the skull revealed an osteolytic lesion in the left TMJ, involving the upper mandible, condyle, and glenoid fossa and extending to the infratemporal fossa and fossa media through a defect in temporal bone. Surgical management included a left pterional craniotomy to reach the temporal skull base and resect the intracranial tumor and a facial approach with partial left mandibulectomy and resection of left condyle, glenoid fossa, and tumor removal in infratemporal fossa. Mandible function was restored with prosthetic reconstruction of the condyle. She progressively started to eat solid foods after 3 months, becoming increasingly functional and asymptomatic. At 30 months' follow-up, she had no sign of tumoral recurrence and showed asymptomatic and normal TMJ function. Conclusion PVNS should be considered in the differential diagnosis of bone neoplasms affecting young patients. In such cases, radical excision is mandatory and TMJ prosthesis for local reconstruction may be used to preserve functionality. |
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| فهرسة مساهمة: | Keywords: skull base; synovitis; temporomandibular joint; treatment |
| تواريخ الأحداث: | Date Created: 20170822 Latest Revision: 20211117 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC5553471 |
| DOI: | 10.1055/s-0036-1587693 |
| PMID: | 28824995 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2378-5128 |
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| DOI: | 10.1055/s-0036-1587693 |