Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension: a case and literature review

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Abstract

Pigmented villonodular synovitis (PVNS) is a benign, yet locally aggressive proliferative lesion most commonly found in joints of the long bones; it rarely presents in the temporomandibular joint (TMJ). The authors report a case of PVNS involving the TMJ and review similar cases reported in the English literature. This is the first case of PVNS with long-term follow-up of 11 years to include imaging studies. A 36-year-old male with symptoms suggestive of a temporomandibular disorder (TMD) presented with a progressive preauricular/parotid swelling and restricted mandibular range of motion. Imaging suggested a lesion with an aggressive course due to tissue displacement and destruction proximal to the lesion. A multidisciplinary team performed complete excision of the lesion with immediate reconstruction. PVNS often presents with similar symptoms to a TMD, but must be distinguished from symptomatic TMD as it can be highly destructive. Owing to its aggressive nature and potential for recurrence, complete and early extirpation and long-term follow-up with advanced imaging is indicated.

Original languageEnglish (US)
Pages (from-to)795-801
Number of pages7
JournalInternational Journal of Oral and Maxillofacial Surgery
Volume38
Issue number7
DOIs
StatePublished - Jul 1 2009

Keywords

  • TMJ
  • mandible
  • pigmented villonodular
  • synovitis
  • synovium
  • temporomandibular joint
  • tumor

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