Temporomandibular joint disorder from skull-base osteomyelitis: a case report

被引：7

作者：

Lee S.-C. ^{[1
]}

Kim J.-H. ^{[1
]}

Kim C.-H. ^{[1
]}

Kim B.-J. ^{[1
]}

机构：

[1] Department of Oral and Maxillofacial surgery, Dong-a University Hospital, Daesingongwon-ro 26, Seo-gu, Busan

来源：

Maxillofacial Plastic and Reconstructive Surgery | / 37卷 / 1期

关键词：

Arthrocentesis with lavage; Malignant external otitis; Skull-base osteomyelitis;

D O I：

10.1186/s40902-015-0041-1

中图分类号：

学科分类号：

摘要：

Skull-base osteomyelitis is a rare disease affecting the medulla of the temporal, sphenoid, and occipital bones. In general, it occurs due to external ear canal infections caused by malignant external otitis. Skull-base osteomyelitis usually affects elderly diabetic patients. The patient, a 58-year-old man, was referred for evaluation and management of the left jaw. Clinical examination of the patient revealed pain in the left jaw and mouth-opening deflection to the left. The maximum active mouth opening was measured to about 27 mm. Panoramic, CT, and CBCT revealed bone resorption patterns in the left condyle. Through control of diabetes, continued pharmacological treatment, arthrocentesis, and occlusal stabilization appliance therapy were carried out. The extent of active mouth opening was increased to 45 mm, and pain in the left jaw joint was alleviated. This was a case wherein complications caused by failure to control diabetes induced skull-base osteomyelitis. There is a need for continued discussion about the advantages and disadvantages of arthrocentesis with lavage for patients with skull-base osteomyelitis and other treatment options. © 2015, Lee et al.

引用

共 17 条

[1]

Chandler J.R., Malignant external otitis, Laryngoscope, 78, pp. 1257-1294, (1968)

[2]

Nadol J.B., Histopathology of Pseudomonas osteotomyelitis of the temporal bone starting as malignant external otitis, Am J Otolaryngol, 1, pp. 359-371, (1980)

[3]

Benecke J.E., Management of osteomyelitis of the skull base, Laryngoscope, 99, pp. 1220-1223, (1989)

[4]

Slattery W.H., Brackmann D.E., Skull base osteomyelitis. Malignant external otitis, Otolaryngol Clin North Am, 29, pp. 795-806, (1996)

[5]

Bernheim J., Sade J., Histopathology of the soft parts in 50 patients with malignant external otitis, J Laryngol Otol, 103, pp. 366-368, (1989)

[6]

Singh A., Al Khabori M., Hyder M.J., Skull base osteomyelitis: diagnostic and therapeutic challenges in atypical presentation, Otolaryngol Head Neck Surg, 133, pp. 121-125, (2005)

[7]

Jeong H.J., Nam S.K., Song I.A., Lee S.C., Kim Y.C., Cervicogenic headache from skull-base osteomyelitis: a case report, Korean J Pain, 22, pp. 88-91, (2009)

[8]

Rothholtz V.S., Lee A.D., Shamloo B., Bazargan M., Pan D., Djalilian H.R., Skull base osteomyelitis: the effect of comorbid disease on hospitalization, Laryngoscope, 118, pp. 1917-1924, (2008)

[9]

Hsiao Y.C., Lee J.C., Kang B.H., Lin Y.S., Idiopathic osteomyelitis at the base of the skull, South Med J, 99, pp. 1121-1123, (2006)

[10]

Chang P.C., Fischbein N.J., Holiday R.A., Central skull base oteomyelitis in patients without otitis externa: imaging finding, Am J Neuroradiol, 24, pp. 1310-1316, (2003)

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