Severe septic arthritis of the temporomandibular joint with pyogenic orofacial infections: A case report and review of the literature

Xiao,Di; Feng,Xuefeng; Huang,Haitao; Quan,Huixin

doi:10.3892/etm.2017.4510

Severe septic arthritis of the temporomandibular joint with pyogenic orofacial infections: A case report and review of the literature

Authors:
- Di Xiao
- Xuefeng Feng
- Haitao Huang
- Huixin Quan
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Affiliations: Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116023, P.R. China
Published online on: May 23, 2017 https://doi.org/10.3892/etm.2017.4510
Pages: 141-146
Copyright: © Xiao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Septic arthritis of the temporomandibular joint (SATMJ) is a rare entity that has only been reported a few dozen times worldwide. However, SATMJ is an acute infectious disease and associated with a high risk for misdiagnosis, which results in severe complications for patients. The present study reported a case of an 83‑year‑old female patient with severe pyogenic orofacial infections caused by right‑side SATMJ, which was not cured by abscess incision drainage and anti-microbial treatment. Finally, the clinical signs were resolved by condylectomy and debridement of the erosive septic TMJ, after which the function of the TMJ was completely restored. In conclusion, a timely and correct diagnosis with early treatment is critical to preventing acute complications and late sequelae of SATMJ. In addition, literature associated with this topic was reviewed and discussed.

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