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Krishnan P, Dineshkumar T, Divya B, Krishnan R, Rameshkumar A. Response to letter to the editor. Ann Diagn Pathol 2023; 67:152222. [PMID: 37922700 DOI: 10.1016/j.anndiagpath.2023.152222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Accepted: 10/25/2023] [Indexed: 11/07/2023]
Affiliation(s)
- Padmajaa Krishnan
- Department of Oral Pathology & Microbiology, SRM Dental College, Ramapuram, Chennai 600089, India
| | - Thayalan Dineshkumar
- Department of Oral Pathology & Microbiology, SRM Dental College, Ramapuram, Chennai 600089, India
| | - Bose Divya
- Department of Oral Pathology & Microbiology, SRM Dental College, Ramapuram, Chennai 600089, India.
| | - Rajkumar Krishnan
- Department of Oral Pathology & Microbiology, SRM Dental College, Ramapuram, Chennai 600089, India
| | - Annasamy Rameshkumar
- Department of Oral Pathology & Microbiology, SRM Dental College, Ramapuram, Chennai 600089, India
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Khattak YR, Ali A, Atiq S, Ahmad I. Reporting the neglected cases of temporomandibular joint ganglion cysts in the systematic review. Ann Diagn Pathol 2023; 67:152218. [PMID: 37940424 DOI: 10.1016/j.anndiagpath.2023.152218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2023] [Accepted: 10/16/2023] [Indexed: 11/10/2023]
Affiliation(s)
| | - Adnan Ali
- Rawalpindi Medical University, Rawalpindi, Pakistan
| | | | - Iftikhar Ahmad
- Institute of Radiotherapy and Nuclear Medicine, Peshawar, Pakistan.
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Maribo Y, Stokbro K, Aagaard E, Larsen SR, Thygesen T. Synovial Cysts in the Temporomandibular Joint: a Case Report and Critical Review of the Literature. J Oral Maxillofac Res 2019; 10:e4. [PMID: 31069041 PMCID: PMC6498815 DOI: 10.5037/jomr.2019.10104] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Accepted: 01/19/2019] [Indexed: 11/25/2022]
Abstract
Background Synovial cysts of the temporomandibular joint are rare and treatment is based on consensus from cases reporting unilateral successful outcomes. A patient with a synovial cyst is presented, treated with successful surgical excision of the cyst, but without remission of joint symptoms. Furthermore, the case is supplemented by a critical, literature review. Methods This case report deals with a patient with a synovial cyst that presented with temporomandibular joint (TMJ) pain and reduced mouth opening. Magnetic resonance imaging verified a TMJ cyst. Results Surgical excision removed the synovial cyst, and the patient was followed-up for 4 years, with no recurrence of the cyst. Despite successful excision of the cyst, the symptoms did not subside, and the patient is still in treatment. The critical, literature review found 23 case reports describing 24 synovial cysts. In addition, 4 cases were included as their synovial cysts were erroneously described as ganglion cysts. In 4 cases, histological diagnosis could not be confirmed, and they were excluded. All cases described treatment by surgical excision without recurrence. The reported median follow-up was 10 months and postoperative TMJ symptoms were rarely examined or described. Conclusions The temporomandibular joint symptoms may persist despite successful removal of the synovial cyst. Furthermore, the 4 identified synovial cysts, mislabelled as ganglion cysts, represents almost a quarter of the cases of the reported synovial cysts. Correct labelling and reporting of synovial cysts are still imperative to describe the diverse aspects of treatment outcomes following surgical excision.
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Affiliation(s)
- Ynn Maribo
- Department of Oral and Maxillofacial Surgery, Odense University HospitalDenmark
| | - Kasper Stokbro
- Department of Oral and Maxillofacial Surgery, Odense University HospitalDenmark.,Clinical institute, Faculty of Health, University of Southern DenmarkDenmark
| | - Esben Aagaard
- Department of Oral and Maxillofacial Surgery, Odense University HospitalDenmark
| | | | - Torben Thygesen
- Department of Oral and Maxillofacial Surgery, Odense University HospitalDenmark
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Kamer AP, Bonnin JM, Spinner RJ, Cohen-Gadol AA. Ganglion cyst of the temporomandibular joint with intradural extension: case report. J Neurosurg 2019; 132:700-704. [PMID: 30738406 DOI: 10.3171/2018.10.jns182665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Accepted: 10/26/2018] [Indexed: 11/06/2022]
Abstract
Intracranial extension of temporomandibular joint (TMJ) ganglion cysts is very rare. Two previously reported cases presented clinically due to effects on cranial nerves and had obvious association with the TMJ on imaging. To the authors' knowledge, intracranial extension of a TMJ ganglion cyst presenting with seizures and mimicking a primary brain tumor has not been previously reported. The patient underwent resection of a presumptive primary cystic temporal lobe tumor, but the lesion had histopathological features of a nonneoplastic cyst with a myxoid content. He was followed with serial imaging for 5 years before regrowth of the lesion caused new episodes of seizures requiring a repeat operation, during which the transdural defect was repaired after the adjacent segment of the TMJ was curetted. A thorough review of all imaging studies and the histopathological findings from the repeat operation led to the correct diagnosis of a TMJ ganglion cyst. This case highlights an unusual presentation of this rare lesion, as well as its potential for recurrence. TMJ ganglion cysts should be included in the differential diagnosis of cystic tumors involving the anterior temporal lobe, presenting with or without seizures. Focused imaging evaluation of the TMJ can be helpful to rule out the possible role of associated TMJ lesions.
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Affiliation(s)
| | - Jose M Bonnin
- 2Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, Indiana
| | - Robert J Spinner
- 3Department of Neurologic Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota; and
| | - Aaron A Cohen-Gadol
- 4Goodman Campbell Brain and Spine, Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana
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Segami N, Nojima T. Ganglion cyst in the temporomandibular joint: A case report and discussion of surgical approaches. Cranio 2018; 37:400-404. [PMID: 29685088 DOI: 10.1080/08869634.2018.1465512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Background: Ganglion cysts in the temporomandibular joint are treated by resection; however, there has been insufficient discussion regarding the appropriate approach for surgical resection. Clinical presentation: A 55-year-old man presented with a left preauricular swelling for one year. The examination revealed a moderately hard mass with a 30-mm diameter, tenderness, and restricted movement. Magnetic resonance imaging showed a cystic lesion with a 25 mm-long axis. Considering a diagnosis of temporomandibular cyst, separation of the cyst wall through a preauricular incision was attempted. However, the cyst ruptured due to strong adherence on the reverse side. Curettage followed by discectomy was performed. Histopathological diagnosis was of a ganglion cyst. Among 39 reported cases, 24 were excised via the preauricular approach, with 8 intraoperative cyst ruptures. Conclusion: The parotidectomy approach should be employed when the cyst is large, at a low position, or adherent to the surrounding tissue, in order to achieve reliable excision.
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Affiliation(s)
- Natsuki Segami
- Department of Oral and Maxillofacial Surgery, Kanazawa Medical University , Ishikawa , Japan
| | - Takayuki Nojima
- Department of Pathology, Kanazawa University Hospital , Ishikawa , Japan
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Lee AD, Mima T, Morimoto Y, Takigawa Y. Salivary duct cyst of accessory parotid gland in contact with the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 125:e108-e112. [PMID: 29066067 DOI: 10.1016/j.oooo.2017.08.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Revised: 08/17/2017] [Accepted: 08/20/2017] [Indexed: 11/16/2022]
Abstract
A 60-year-old woman presented with a painless swelling in the right preauricular region. Physical examination revealed a soft, nontender, oval-shaped lump in this location. Computed tomography indicated an anterolateral cystic lesion that was attached to the condyle of the mandible and to the accessory parotid gland. Differential diagnoses included ganglion cyst, synovial cyst of the temporomandibular joint, and accessory parotid gland cyst. Surgical removal of the cyst was performed with the patient under general anesthesia. The specimen was 18 × 20 × 18 mm in size; it contained fluid that was clear, slightly yellow, and amylase positive. Hematoxylin and eosin staining revealed that a bilayer cuboidal epithelium lined the cyst wall. Immunohistochemical analyses of the cyst wall showed strong expression of cytokeratin and weak expression of vimentin. The final diagnosis was a salivary duct cyst. The postoperative course was uneventful except for a transient facial motor paresis.
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Affiliation(s)
- Atsushi-Doksa Lee
- Department of Oral and Maxillofacial Surgery, NTT West Osaka Hospital, Osaka, Japan.
| | - Takashi Mima
- Department of Oral and Maxillofacial Surgery, NTT West Osaka Hospital, Osaka, Japan
| | - Yasunari Morimoto
- Department of Oral and Maxillofacial Surgery, NTT West Osaka Hospital, Osaka, Japan
| | - Yoko Takigawa
- Department of Oral and Maxillofacial Surgery, NTT West Osaka Hospital, Osaka, Japan
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Temporomandibular Joint Ganglion Cyst: A Unique Case of Complete Resolution Following Subtotal Excision. J Oral Maxillofac Surg 2016; 74:1783-91. [DOI: 10.1016/j.joms.2016.02.022] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2016] [Revised: 02/23/2016] [Accepted: 02/23/2016] [Indexed: 11/18/2022]
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Ganglion and Synovial Cyst of the Temporomandibular Joint: A Case Report and Literature Review. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2015; 3:e524. [PMID: 26495237 PMCID: PMC4596449 DOI: 10.1097/gox.0000000000000494] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Accepted: 07/22/2015] [Indexed: 12/21/2022]
Abstract
Ganglion and synovial cysts of the temporomandibular joint (TMJ) are rare. Although histopathological findings differ, clinical presentation is comparable. This study adds a case report of a ganglion of the TMJ to existing literature and a review of all available case reports on ganglion and synovial cysts of the TMJ. Including our own case report, we reviewed 49 cases of ganglion and synovial cysts of the TMJ. They occurred in a female:male ratio of 3:1, at an median age of 46 years (range, 11-64 years). Patients mainly presented with preauricular swelling and pain. After imaging, the ganglion or synovial cyst was most commonly excised under general anesthesia. No recurrences were described.
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Algharib A, Parekh J, Sultan A, Hopper C. A rare case of a ganglionic cyst of the TMJ – Case report and review of the literature. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, MEDICINE, AND PATHOLOGY 2015. [DOI: 10.1016/j.ajoms.2014.06.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Ganglion cyst of temporomandibular joint: A case report and literature review. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, MEDICINE, AND PATHOLOGY 2014. [DOI: 10.1016/j.ajoms.2013.05.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Heng-Kun W, Yan-Ling G, Wen-Feng Z, Zhe S, Ren-Xin W, Xiao-Tao Z. Ganglion cyst of the temporomandibular joint. ACTA ACUST UNITED AC 2014; 115:62-4. [PMID: 24412035 DOI: 10.1016/j.revsto.2013.09.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2013] [Revised: 05/31/2013] [Accepted: 09/25/2013] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Ganglion cyst of the temporomandibular joint is a rare disease, which may arise from myxoid degeneration of the collagenous tissue of the temporomandibular joint capsule, without epithelial or endothelial lining. We report a case of cystic lesion in a 40-year-old female patient. OBSERVATION The patient had a left pre-auricular oval-shaped swelling without any articular symptoms. The pathological analysis after surgical removal allowed diagnosing the lesion as a ganglion cyst of the left temporomandibular joint. DISCUSSION We made a literature review and noted that this condition was predominant in female patients. We recommend using MRI for diagnostic purposes and surgery as the best therapeutic alternative.
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Affiliation(s)
- W Heng-Kun
- Department of oral and maxillofacial surgery, Weihai municipal hospital, Weihai 264200, Shandong province, PR China.
| | - G Yan-Ling
- Department of stomatology, Weihai women and children hospital, Weihai 264200, Shandong province, PR China
| | - Z Wen-Feng
- Department of oro-maxillofacial head and neck surgery, hospital of stomatology, Wuhan university, Wuhan 430079, Hubei Province, China
| | - S Zhe
- Department of oro-maxillofacial head and neck surgery, hospital of stomatology, Wuhan university, Wuhan 430079, Hubei Province, China
| | - W Ren-Xin
- Department of oral and maxillofacial surgery, Weihai municipal hospital, Weihai 264200, Shandong province, PR China
| | - Z Xiao-Tao
- Department of oral and maxillofacial surgery, Weihai municipal hospital, Weihai 264200, Shandong province, PR China
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Synovial cysts of the temporomandibular joint: an immunohistochemical characterization and literature review. Case Rep Pathol 2013; 2013:508619. [PMID: 23573446 PMCID: PMC3616358 DOI: 10.1155/2013/508619] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2013] [Accepted: 02/25/2013] [Indexed: 11/18/2022] Open
Abstract
Synovial cysts of the temporomandibular joint (TMJ) are very rare, and to date, only 12 cases of a synovial cyst in the TMJ region have been reported in the literature. In this paper, we present the clinicopathological and immunohistochemical characteristics of one such lesion affecting a 48-year-old woman, presented with a mass in the left preauricular region. We describe the usefulness of immunohistochemical analysis for recognizing the synovial lining, which allowed for clear differentiation between ganglion and synovial cysts. Immunohistochemical analyses can be used to diagnose synovial cysts with certainty; however, using at least two markers is advisable to distinguish the two existing synovial cell subtypes. Our findings indicate that synovial cysts of TMJ possess an internal lining dominated by type B (fibroblast-like) synoviocytes.
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Okochi K, Nakamura S, Tetsumura A, Honda E, Kurabayashi T. Magnetic resonance imaging of temporomandibular joint cyst. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 113:827-31. [DOI: 10.1016/j.oooo.2011.11.013] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2011] [Revised: 11/09/2011] [Accepted: 11/15/2011] [Indexed: 12/15/2022]
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Mumert ML, Altay T, Shelton C, Harnsberger HR, Couldwell WT. Ganglion cyst of the temporomandibular joint with intracranial extension in a patient presenting with seventh cranial nerve palsy. J Neurosurg 2012; 116:310-2. [DOI: 10.3171/2011.10.jns111247] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Ganglion cysts arising from the temporomandibular joint are rare entities that often present with swelling and minimal to no pain in the preauricular region. To the authors' knowledge, a temporomandibular joint ganglion cyst occurring with acute facial nerve palsy and intracranial extension has never been reported. The patient in the current case initially underwent treatment for Bell palsy and then draining of the cyst at an outside hospital with no relief of symptoms. Repeat MR imaging showed an increase in the size of the cystic, enhancing, middle fossa lesion measuring 4 cm. Resection of the lesion was undertaken using a middle fossa approach. After a satisfactory surgical decompression, the patient demonstrated a significant recovery in her facial palsy over a 3-month period of time. This case presents new clinical and radiographic findings associated with these lesions.
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Affiliation(s)
| | | | - Clough Shelton
- 2Division of Otolaryngology/Head & Neck Surgery, Department of Surgery; and
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16
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Deng R, Yang X, Tang E. Ganglion cyst of the temporomandibular joint. Br J Oral Maxillofac Surg 2010; 48:224-5. [DOI: 10.1016/j.bjoms.2009.08.013] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2009] [Accepted: 08/17/2009] [Indexed: 12/01/2022]
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Lima SM, de Souza Maliska MC, Dimitroulis G, Modolo F, Nazareno Gil J. Painful deviation of the mandible. ACTA ACUST UNITED AC 2009; 107:749-53. [PMID: 19230727 DOI: 10.1016/j.tripleo.2009.01.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2008] [Revised: 12/25/2008] [Accepted: 01/03/2009] [Indexed: 11/17/2022]
Affiliation(s)
- Sergio Monteiro Lima
- Department of Oral and Maxillofacial Surgery, Federal University of Santa Catarina, Florianópolis, Brazil.
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Ali ZA, Busaidy KF, Wilson J. Unusual Presentation of a Ganglion Cyst of the Temporomandibular Joint: Case Report and Distinction From Synovial Cyst. J Oral Maxillofac Surg 2006; 64:1300-2. [PMID: 16860230 DOI: 10.1016/j.joms.2006.04.013] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2005] [Indexed: 11/19/2022]
Affiliation(s)
- Ziad A Ali
- University of Texas Houston Medical School, Department of Oral and Maxillofacial Surgery, University of Texas Dental Branch at Houston, Houston, TX 77096, USA.
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