ABSTRACT
Pigmented villonodular synovitis is a benign lesion of unclear etiology involving the synovial membranes of joints, bursae, and tendon sheaths. Its occurrence in the temporomandibular joint is particularly rare. Despite its benign nature, pigmented villonodular synovitis is described as being locally destructive to the surrounding structures. Imaging evaluation and histopathologic examination are crucial for correct diagnosis.The purposes of the surgical treatment are for relief of pain and swelling, improvement of joint function, and prevention of further joint damage.The authors report a case involving an adult male patient; complete excision of the temporomandibular joint lesion through an open arthroplasty approach was performed. To date, after 18 months of follow-up, the patient is disease free with an adequate preservation of function.
Subject(s)
Synovitis, Pigmented Villonodular/diagnosis , Synovitis, Pigmented Villonodular/therapy , Temporomandibular Joint Disorders/diagnosis , Temporomandibular Joint Disorders/therapy , Aged, 80 and over , Anti-Bacterial Agents/therapeutic use , Combined Modality Therapy , Humans , Magnetic Resonance Imaging , Male , Oral Surgical Procedures , Steroids/therapeutic use , Tomography, X-Ray ComputedABSTRACT
Cranial base fractures still represent a challenging issue. A multidisciplinary approach and the contribution of different specialists is mandatory. There is still a controversy regarding the correct approach to these trauma due to the diversity of opinions as well as surgical approaches and timing.
Subject(s)
Skull Base/injuries , Skull Base/surgery , Skull Fractures/surgery , Adolescent , Adult , Aged , Brain Ischemia/etiology , Cerebrospinal Fluid , Cerebrospinal Fluid Rhinorrhea/etiology , Cranial Nerve Injuries/etiology , Craniotomy , Female , Fistula/etiology , Humans , Male , Middle Aged , Patient Care Team , Practice Guidelines as Topic , Skull Fractures/complicationsABSTRACT
The use of adipous tissue transfer for the correction of maxillo-facial defects was reported for the first time at the end of the 19 century and has been the subject of numerous studies. Grafted fat tissue has been used for years as an excellent filler during facial enhancement and recontouring. Several techniques have been proposed for harvesting and grafting the fat. However, due to the damage caused by excessive adipose tissue during these maneuvers, the results were not satisfying. The situation required a larger amount of fat to be harvested even for small corrections. In 1988, the American plastic surgeon Sydney R. Coleman personally developed a technique called Structural Fat Grafting (SFG), which allows the fat to be harvested and injected with minimal risk of necrosis and reabsorption.
