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Promerat A, Constant M, Ferri J, Nicot R. Temporomandibular joint synovial cysts: A systematic review of the literature and a report of two cases. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2021; 123:478-483. [PMID: 34715409 DOI: 10.1016/j.jormas.2021.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Accepted: 10/20/2021] [Indexed: 11/18/2022]
Abstract
Temporomandibular joint (TMJ) synovial cysts are rare, unlike peripheric locations like the wrist or the knee. They share similar presentations with ganglion cyst, benign and sometimes malignant lesions. Only histopathological analysis confirms diagnosis in some cases, finding a true cyst lined by synoviocytes containing synovial fluid. They seem to be related to an increased articular pressure following trauma. In this study we present two cases of TMJ synovial cyst and a systematic review of the literature. A total of 32 cases were retrieved from published literature in PubMed, Cochrane Library and ClinicalTrials.gov databases using the search terms 'TMJ synovial cyst', 'temporomandibular synovial cyst', 'jaw joint synovial cyst'. Swelling (91.3%) and pain (78.3%) were the most common symptoms. MRI was the most commonly used imaging modality that was found to be beneficial for diagnosis. In almost all cases the cyst was removed under general anesthesia, allowing histopathological examination. Only two patients still had pain after removal of the cyst. No recurrence was observed .
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Affiliation(s)
- Alexandra Promerat
- University of Lille, CHU Lille, Department of Oral and Maxillofacial Surgery, Lille, France.
| | - Marion Constant
- CH Boulogne sur Mer, Department of Maxillofacial Sugery, Boulogne sur Mer, France
| | - Joël Ferri
- University of Lille, CHU Lille, INSERM, Department of Oral and Maxillofacial Surgery, U1008 - Controlled Drug Delivery Systems and Biomaterials, Lille, France
| | - Romain Nicot
- University of Lille, CHU Lille, INSERM, Department of Oral and Maxillofacial Surgery, U1008 - Controlled Drug Delivery Systems and Biomaterials, Lille, France
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2
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Buckley C, Beecher S, Sleeman D, O'Shaughnessy M. Bilateral synovial cysts of the temporomandibular joint. BMJ Case Rep 2019; 12:12/7/e230081. [PMID: 31300603 DOI: 10.1136/bcr-2019-230081] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Synovial cysts very rarely affect the temporomandibular joint (TMJ). On review of the literature, there are 29 reported cases of unilateral synovial cysts of the TMJ. We present a case of bilateral synovial cysts occurring at the TMJs.
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Affiliation(s)
- Christina Buckley
- Department of Plastic and Reconstructive Surgery, Cork University Hospital Group, Cork, Ireland
| | - Suzanne Beecher
- Department of Plastic and Reconstructive Surgery, Cork University Hospital Group, Cork, Ireland
| | - Duncan Sleeman
- Oral and Maxillofacial Surgery Department, Cork University Hospital Group, Cork, Ireland
| | - Michael O'Shaughnessy
- Department of Plastic and Reconstructive Surgery, Cork University Hospital Group, Cork, Ireland
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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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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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Partridge JC, Cipriani N, Faquin WC, Chuang SK, Keith DA, Lahey ET. Periarticular Cysts of the Temporomandibular Joint Are More Frequently Synovial Than Ganglion. J Oral Maxillofac Surg 2016; 74:1396-402. [DOI: 10.1016/j.joms.2016.01.036] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2015] [Revised: 01/22/2016] [Accepted: 01/22/2016] [Indexed: 12/28/2022]
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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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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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Ansari H, Robertson CE, Lane JI, Viozzi CF, Garza I. Auriculotemporal Neuralgia Secondary to TMJ Synovial Cyst: A Rare Presentation of a Rare Entity. Headache 2013; 53:1662-5. [DOI: 10.1111/head.12196] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2013] [Indexed: 12/21/2022]
Affiliation(s)
- Hossein Ansari
- Neurology and Neuroscience Associates, Inc.; Akron OH USA
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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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Preauricular transcondylar approach for basal cell adenoma of parotid coexist with ganglion cyst of the ipsilateral temporomandibular joint. J Craniofac Surg 2011; 22:e23-6. [PMID: 22134312 DOI: 10.1097/scs.0b013e31822ec903] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
The concurrence of 2 independent neoplasias in the ipsilateral parotid and the temporomandibular joint (TMJ) region was infrequently reported. In this article, we present a unique case characterized by the coexistence of a rare salivary gland tumor, basal cell adenoma, of the parotid gland with a ganglion cyst in the ipsilateral TMJ region. A special surgical procedure was also presented here using a modified preauricular incision and transcondylar approach for extracapsular dissection of both lesions. Previously published literature are about the traditional treatment of benign parotid tumors using partial or total parotidectomy with the preservation of facial nerve mainly via an S-shaped submandibular incision and approach. Here, for the first time, a special surgical method using preauricular transcondylar approach for this unique case of synchronous occurrence of parotid tumor and TMJ cyst is reported.
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13
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Spinzia A, Panetta D, Russo D, Califano L. Synovial cyst of the temporomandibular joint: a case report and literature review. Int J Oral Maxillofac Surg 2011; 40:874-7. [PMID: 21470821 DOI: 10.1016/j.ijom.2011.02.027] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2010] [Revised: 01/11/2011] [Accepted: 02/22/2011] [Indexed: 11/19/2022]
Abstract
Synovial cysts are lesions that usually occur on the wrist, foot and knee. They are rarely involved in the region of the temporomandibular joint (TMJ), with only 10 cases reported from 1978 to 2007. The authors report a case of a synovial cyst of the TMJ in a 45-year-old woman. The patient presented with a right preauricular swelling, 1cm anterior to the tragus. A computed tomography (CT) scan showed a small oval hypodense mass of soft tissue in the right temporomandibular region with no relation to the condyle. Fine needle aspiration reported a synovial cyst of the TMJ. The patient was taken to the operating room and a preauricular approach extending to the temporal region was carried out resulting in surgical excision of the mass. The histological findings were consistent with the diagnosis of a synovial cyst. The long term clinical and radiological follow-up (after 18 months) showed no sign of recurrence. The authors suggest, in accordance with the literature, that a surgical approach should be the treatment of choice in the case of a synovial cyst of the TMJ.
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Affiliation(s)
- A Spinzia
- Department of Maxillofacial Surgery, University Federico II, Napoli, Italy.
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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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Baldauf J, Junghans D, Schroeder HWS. Endoscope-assisted microsurgical resection of an intraneural ganglion cyst of the hypoglossal nerve. J Neurosurg 2005; 103:920-2. [PMID: 16304998 DOI: 10.3171/jns.2005.103.5.0920] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
✓ An unusual case of an intraneural ganglion cyst of the hypoglossal nerve is presented. Only one case of this rare clinical entity has been reported previously. A 51-year-old woman presented with a 6-month history of left-sided hypoglossal nerve palsy. Magnetic resonance imaging revealed a cystic lesion related to the hypoglossal canal. There was no enhancement of the lesion after administration of Gd. A high-resolution computerized tomography scan of the skull base demonstrated an enlargement of the hypoglossal canal.
To access the lesion, a far-lateral endoscope-assisted microsurgical approach was used. An intraneural ganglion lesion invading the hypoglossal nerve was found and resected. A histopathological examination confirmed that the lesion was an intraneural ganglion cyst. The occurrence of an intraneural ganglion cyst at the hypoglossal nerve is very rare. This case exemplifies an atypical location of a synovial cyst with cranial nerve involvement.
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Affiliation(s)
- Jörg Baldauf
- Departments of Neurosurgery and Neuropathology, Ernst Moritz Arndt University, Greifswald, Germany.
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Takaku S, Sano T, Komine Y, Fukazawa N. Ganglion of the temporomandibular joint: case report. J Oral Maxillofac Surg 2001; 59:224-8. [PMID: 11213996 DOI: 10.1053/joms.2001.20506] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- S Takaku
- Department of Oral and Maxillofacial Surgery, Saitama Medical School, Japan.
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