累及颅底的颞下颌关节滑膜软骨肉瘤切除与重建：附1例报告

中国口腔颌面外科杂志 ›› 2016, Vol. 14 ›› Issue (2): 189-192.

• 病例报告 • 上一篇

累及颅底的颞下颌关节滑膜软骨肉瘤切除与重建：附1例报告

叶周熹, 杨驰, 陈敏洁, 黄栋

上海交通大学医学院附属第九人民医院·口腔医学院口腔外科,上海市口腔医学重点实验室,上海 200011

收稿日期:2015-02-10 出版日期:2016-03-20 发布日期:2016-04-06
通讯作者: 杨驰,E-mail:yangchi63@hotmail.com
作者简介:叶周熹（1990-）,女,口腔医学七年制学生,E-mail:450219713@qq.com
基金资助:
上海市科学技术委员会学科带头人项目（13XD1402300）

Resection of synovial chondrosarcoma of temporomandibular joint involving the skull base with simultaneous reconstruction: report of one case

YE Zhou-xi, YANG Chi, CHEN Min-jie, HUANG Dong

Department of Oral Surgery, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine;Shanghai Key Lab of Stomatology. Shanghai 200011,China

Received:2015-02-10 Online:2016-03-20 Published:2016-04-06

摘要/Abstract

摘要： 滑膜软骨肉瘤（synovial chondrosarcoma,SCS）是一种软骨性恶性肿瘤,极其罕见,可原发或继发于滑膜软骨瘤病。源于颞下颌关节（temporomandibular joint, TMJ）的SCS仅见3例报道。本文报告1例罕见的累及颞下间隙且破坏颅底的TMJ-SCS,手术利用数字导板确定肿瘤边界并将其切除,同期用髂骨瓣修复颅底、带蒂锁骨瓣重建髁突和颞深筋膜脂肪瓣作为骨组织间置物。术后随访1 a,患者面型对称,开口度22 mm;影像学检查显示局部无复发和骨转移,但出现肺转移。

关键词: 颞下颌关节, 滑膜软骨肉瘤, 数字导板, 髂骨瓣, 锁骨瓣

Abstract: Synovial chondrosarcoma (SCS) is a rare malignant cartilaginous tumor that arises from synovial chondromatosis (SCM) or de novo. To our knowledge, only three previously studies reported its involvement of temporomandibular joint (TMJ). Here, we present a case of a 56-year old woman with a SCS of TMJ involving the infratemporal space and the skull base. The lesion was resected with the aid of the digital template, while the skull base and the condyle were immediately reconstructed with ilium bone flap (IBF) and pedicled sternoclavicular joint (SCJ). There was no clinical or imaging sign of local recurrence and bone metastasis during 1-year follow-up period, but metastasis to lung was observed.

Key words: Temporomandibular joint, Synovial chondrosarcoma, Digital template, Ilium bone flap, Sternoclavicular joint

中图分类号:

R782.1

叶周熹, 杨驰, 陈敏洁, 黄栋. 累及颅底的颞下颌关节滑膜软骨肉瘤切除与重建：附1例报告[J]. 中国口腔颌面外科杂志, 2016, 14(2): 189-192.

YE Zhou-xi, YANG Chi, CHEN Min-jie, HUANG Dong. Resection of synovial chondrosarcoma of temporomandibular joint involving the skull base with simultaneous reconstruction: report of one case[J]. China J Oral Maxillofac Surg, 2016, 14(2): 189-192.

参考文献

[1] Evans S, Boffano M, Chaudhry S, et al. Synovial chondrosarcoma arising in synovial chondromatosis [J]. Sarcoma, 2014: 647939.
[2] Merrill RG, Yih WY, Shamloo J. Synovial chondrosarcoma of the temporomandibular joint: a case report [J]. J Oral Maxillofac Surg, 1997, 55(11): 1312-1316.
[3] Ichikawa T, Miyauchi M, Nikai H, et al. Synovial chondrosarcoma arising in the temporomandibular joint [J]. J Oral Maxillofac Surg, 1998, 56(7): 890-894.
[4] Coleman H, Chandraratnam E, Morgan G, et al. Synovial chondrosarcoma arising in synovial chondromatosis of the temporomandibular joint [J]. Head Neck Pathol, 2013, 7(3): 304-309.
[5] Bai G, He D, Yang C, et al. Effect of digital template in the assisstant of a giant condylar osteochondroma resection [J]. J Craniofac Surg, 2014, 25(3): e301-304.
[6] Huang D, He D, Yang C, et al. Computer-assisted local resection for exostosis osteochondroma of the mandibular condyle [J]. J Craniofac Surg, 2013, 24(4): e446-449.
[7] Kiyokawa K, Tai Y, Yanaga H, et al. Evaluation with three-dimensional computed tomography after anterior skull base reconstruction using two musculopericranial flaps and a grafted bone [J]. Skull Base Surg, 1999, 9(3):221-226.
[8] He D , Yang C , Chen M, et al. Surgical treatment of traumatic temporomandibular joint ankylosis with medially displaced residual condyle: surgical methods and long-term results [J]. J Oral Maxillofac Surg, 2011, 69(9): 2412-2418.
[9] Jiang B, Yang C, Chen MJ, et al. Synovial chondromatosis of the temporomandibular joint with articular eminence extension [J]. J Craniofac Surg, 2012, 23(3): 716-718.
[10] Chen M, Yang C, Qiu Y, et al. Superior half of sternoclavicular joint pedicled with the sternocleidomastoid muscle for reconstruction of the temporomandibular joint: a preliminary study with simplified technique and enlarged indications [J]. Int J Oral Maxillofac Surg, 2015 Apr 2.
[11] Rath R, Das BK, Baisakh M, et al. Dedifferentiated chondrosarcoma of temporomandibular joint: atypical features of a rare case [J]. J Clin Diagn Res, 2014, 8(9): ZD09-11.
[12] Chen MJ, Yang C, Cai XY, et al. Synovial chondromatosis in the inferior compartment of the temporomandibular joint: different stages with different treatments [J]. J Oral Maxillofac Surg, 2012, 70(1): e32-38.
[13] Bertoni F, Unni KK, Beabout JW, et al. Chondrosarcomas of the synovium [J]. Cancer, 1991, 67(1): 155-162.
[14] Wolford LM, Cottrell DA, Henry C. Sternoclavicular grafts for temporomandibular joint reconstruction[J]. J Oral Maxillofac Surg, 1994, 52(2): 119-128.
[15] Singh V, Verma A, Kumar I, et al. Reconstruction of ankylosed temporomandibular joint: Sternoclavicular grafting as an approach to management [J]. Int J Oral Maxillofac Surg, 2011, 40(3): 260-265.
[16] Kumar Reddy DS, Kishore Kumar RV, Gali R, et al. Central chondrosarcoma of a pediatric mandibular condyle: A case report and review [J]. Ann Maxillofac Surg, 2014, 4(1): 85-89.

累及颅底的颞下颌关节滑膜软骨肉瘤切除与重建：附1例报告

Resection of synovial chondrosarcoma of temporomandibular joint involving the skull base with simultaneous reconstruction: report of one case

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	岳史婧, 赵炅, 白果, 陈敏洁, 杨驰. 标准型颞下颌关节假体置换术中保存翼外肌附着的效果评价[J]. 中国口腔颌面外科杂志, 2022, 20(6): 548-553.
[2]	李莉玫, 朱耀旻, 王昱萌, 戴娟, 张丹迪, 梁潇. 23例颞下颌关节手术联合面部除皱术临床疗效分析[J]. 中国口腔颌面外科杂志, 2022, 20(6): 554-559.
[3]	陈静, 朱敏. 稳定型咬合板联合关节灌洗术治疗颞下颌关节紊乱病的疗效评价[J]. 中国口腔颌面外科杂志, 2022, 20(6): 565-570.
[4]	张大河, 沈佩, 杨驰. 青少年颞下颌关节盘前移位患者就诊情况分析[J]. 中国口腔颌面外科杂志, 2022, 20(5): 437-442.
[5]	张大河, 沈佩, 杨驰. 青少年颞下颌关节盘前移位患者就诊情况分析[J]. 中国口腔颌面外科杂志, 2022, 20(5): 443-448.
[6]	马志贵, 沈佩, 戈旌, 谢千阳, 赵宁, 董敏俊, 杨驰. 多学科协作教学模式在颞下颌关节病实践教学中的应用[J]. 中国口腔颌面外科杂志, 2022, 20(5): 500-504.
[7]	李辉, 黄林剑, 谢千阳, 杨驰. 体外培养的兔下颌骨髁突对机械压力的反应和变化[J]. 中国口腔颌面外科杂志, 2022, 20(4): 340-346.
[8]	陈建荣, 丁水清, 陈亮, 何佳嘉, 祁荣兴. 颞下颌关节紊乱的影像学特征：锥形束CT和MRI效能比较[J]. 中国口腔颌面外科杂志, 2022, 20(3): 273-276.
[9]	范帅, 蔡斌, 何冬梅, 徐丽丽, 陆沈吉, 方仲毅. 牵伸支具对颞下颌关节盘锚固术后患者开口受限的作用评价[J]. 中国口腔颌面外科杂志, 2022, 20(1): 37-41.
[10]	王天鸽, 周志捷, 林怡君, 孙仪庭, 陈昱, 孙华, 毛丽霞, 刘加强. 术前正畸对颞下颌关节关节盘及髁突位置和形态的影响[J]. 中国口腔颌面外科杂志, 2021, 19(5): 439-444.
[11]	孙明媛, 俞蕾蕾, 顾雅洁, 夏滴. 品管圈在提高颞下颌关节紊乱患者术后功能锻炼依从性的效果评价[J]. 中国口腔颌面外科杂志, 2021, 19(4): 340-344.
[12]	杨萍萍, 席鹏, 王晶, 郭锦锦, 盛广, 买买提吐逊·吐尔地. 关节腔臭氧浴联合物理疗法治疗颞下颌关节不可复性盘前移位的效果评价[J]. 中国口腔颌面外科杂志, 2021, 19(2): 121-125.
[13]	万绍楠, 殷治国, 谢千阳, 刘芷扬, 董敏俊, 孙琦, 杨驰. 颞下颌关节盘前移位患者髁突与脑皮质磁共振信号强度比较[J]. 中国口腔颌面外科杂志, 2021, 19(1): 36-39.
[14]	恽白, 俞蕾蕾, 罗怡. 颞下颌关节镜治疗关节盘前移伴穿孔患者的全程康复护理探讨[J]. 中国口腔颌面外科杂志, 2020, 18(6): 531-534.
[15]	周晓敏, 王秋旭, 梁志刚. 颞下颌关节镜术后单纯睫状视网膜动脉阻塞1例报告[J]. 中国口腔颌面外科杂志, 2020, 18(6): 571-573.