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악성 외이도염과 두개저 골수염에서 파생된 측두하악관절의 이차성 급성농양 환자에서 관절강 세척술을 통한 치험례: 증례보고
신은섭,곽현진,김소현,최유성,김복주,김철훈,김정한 대한치과의사협회 2022 대한치과의사협회지 Vol.61 No.1
Arthrocentesis and lavage is a conservative method to treat temporomandibular joint disorders by discharging substances that cause inflammation and pain in the temporomandibular joint and resolving temporomandibular joint adhesions. The temporomandibular joint is susceptible to malignant external otitis and skull-base osteomyelitis due to its anatomical proximity. This case is a treatment of performing arthrocentesis and lavage in a patient with secondary acute abscess formation in the temporomandibular joint derived from primary skull-base osteomyelitis caused by malignant external otitis.
Temporomandibular joint disorder from skull-base osteomyelitis: a case report
Lee, Suck-Chul,Kim, Jae-Hyung,Kim, Chul-Hoon,Kim, Bok-Joo Korean Association of Maxillofacial Plastic and Re 2015 Maxillofacial Plastic Reconstructive Surgery Vol.37 No.-
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.
악관절에서의 조직 검사로 원인균이 확인된진균성 악성외이도염 1예
박계훈 대한이비인후과학회 부산,울산,경남 지부회 2018 임상이비인후과 Vol.29 No.1
Malignant otitis externa (MOE) is a potentially life-threatening infection of the external auditory canal, surrounding soft tissues, cranial nerves, and adjacent skull base. Pseudomonas aeruginosa is the most common involved pathogen. However, the lack of definitive bacterial cultures and inadequate responses to antipseudomonal therapy should raise the possibility of fungal infection. We have recently encountered a rare case in which causative pathogen was aspergillus confirmed by biopsy at temporomandibular joint under local anesthesia. The patient was much improved following voriconazole treatment. Herein, we report the case with a review of the literature.