| Autor: |
Brant, Jason A., Kaufman, Adam C., Luu, Neil, Grady, Sean M., O'Malley, Bert W., Ruckenstein, Michael J., Brant, Jason A, Kaufman, Adam C, Grady, Sean M, O Apos Malley, Bert W, Ruckenstein, Michael J |
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| Zdroj: |
ORL; 2019, Vol. 81 Issue 2/3, p171-182, 11p |
| Abstrakt: |
Background/aims: To review the existing literature on pigmented villonodular synovitis (PVNS) of the temporomandibular joint (TMJ) and report a rare case of PVNS of the TMJ presenting with unilateral hearing loss.Methods: Review of the existing literature and a description of personal experience with PVNS of the TMJ presenting with unilateral hearing loss.Results: Review of the existing literature revealed 76 reported cases of PVNS of the TMJ. The most common presenting symptom was of a slowly enlarging mass or swelling of the preauricular area, with dysfunctional TMJ also frequently reported. All patients underwent surgical excision with some pursuing radiation as adjuvant therapy. Presented Patient: A 46-year-old man presented with several months of unilateral subjective hearing loss and aural fullness. Imaging revealed a mass centered along the superior TMJ with expansion through the squamous temporal bone and extra-axial intracranial extension into the middle cranial fossa. Imaging characteristics and fine-needle aspiration biopsy were consistent with PVNS.Intervention: The patient underwent near-total excision of the mass via frontotemporal craniectomy and lateral temporal bone resection.Follow-up: At the 16-month follow-up there was no evidence of disease recurrence.Conclusion: PVNS of the TMJ represents a rare entity that can present with a variety of symptoms including unilateral hearing loss. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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