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Updated: Feb 1, 2026

Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
Pigmented villonodular synovitis occurring in the temporomandibular joint
Fuminori Nomura1, Yosuke Ariizumi1, Yusuke Kiyokawa1
1Department of Head and Neck Surgry, Tokyo Medical and Dental University, Japan.
Complete resection is crucial for temporomandibular joint pigmented villonodular synovitis. Long-term follow-up, around 10 years, is essential to monitor for recurrence of this rare condition.
Area of Science:
- Temporomandibular Joint Disorders
- Orthopedic Oncology
- Surgical Pathology
Background:
- Pigmented villonodular synovitis (PVNS) is an uncommon condition affecting the temporomandibular joint (TMJ).
- Optimal treatment and follow-up strategies for TMJ PVNS require further elucidation due to its rarity.
Purpose of the Study:
- To review treatment methods for temporomandibular joint pigmented villonodular synovitis.
- To determine appropriate follow-up periods for patients diagnosed with TMJ PVNS.
Main Methods:
- Literature review of past studies.
- Retrospective analysis of patient cases.
Main Results:
- En bloc resection, including adjacent skull base bone, was performed in all evaluated cases.
- One case experienced recurrence following fractional excision, highlighting the importance of complete resection.
Conclusions:
- En bloc resection is the recommended surgical approach for temporomandibular joint pigmented villonodular synovitis.
- Extended follow-up, approximately 10 years, is necessary due to the potential for late recurrences.
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