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Septic arthritis of the temporomandibular joint: a case report

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2016, v.42 no.4, pp.227-230
Sung-Won Yang (Gachon University Gil Medical Center)
Jin-Yong Cho (Gachon University Gil Medical Center)
Hyeon-Min Kim (Gachon University Gil Medical Center)

Abstract

Septic arthritis of the temporomandibular joint (TMJ) is a rare disease. The most common symptoms of this disease are acute malocclusion, limited mouth opening, swelling, and tenderness of affected TMJ. These symptoms are often confused with internal derangement of the articular disc, rheu-matoid arthritis, retrodiscitis, or osteoarthritis. Therefore, differential diagnosis by image examination is required. Usually, antimicrobial treatment and surgical drainage by needle aspiration, arthroscopy, or arthrotomy are effective treatment approaches. In this study, a patient who was diagnosed with septic arthritis was treated with arthrocentesis and antibiotics without significant complications. We present a case report with a review of the literature.

keywords
Infectious arthritis, Temporomandibular joint arthrocentesis, Temporomandibular joint aspiration

Journal of the Korean Association of Oral and Maxillofacial Surgeons