Distraction Osteogenesis as a Treatment for Retrognathia and Obstructive Sleep Apnea Resulting From Temporomandibular Joint Septic Arthritis: A Case Report

Scroggins, Samuel E.; Baran, Alp Sinan; Angel, Michael; Caloss, Ron

doi:10.1016/j.joms.2012.03.018

Cited by 10 publications

(5 citation statements)

References 26 publications

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“…On the other hand, direct extension of head and neck infection, local trauma and burn wounds affecting the TMJ obviously increase the morbidity of SATMJ (9–12). Studies have reported that iatrogenic causes, such as third molar abstraction and distraction osteogenesis, also lead to SATMJ (13,14). On a microbiological level, the pathogenesis of SATMJ involves hematogenous dissemination of causative microorganisms or direct extension of a contiguous infection (15), and the infection was often caused by bacteria including Staphylococcus aureus, Neisseria gonorrhea, Streptococcus and Aspergillus flavus (6,16–19).…”

Section: Introductionmentioning

confidence: 99%

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

Xiao

Feng

Huang

et al. 2017

Experimental and Therapeutic Medicine

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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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Section: Introductionmentioning

confidence: 99%

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

Xiao

Feng

Huang

et al. 2017

Experimental and Therapeutic Medicine

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“…However, the changes to the condyle position have not been well characterized. 3,6 An understanding of how MDO forces are translated to condyle position, function, and growth is necessary to guide our use of the technique, reduce ill-effects, and achieve predictable results in RS patients. Previously, we have shown that MDO improves both mandibular volume and symphyseal morphology in RS patients, approximating that of controls.…”

mentioning

confidence: 99%

“…1). However, the changes to the condyle position have not been well characterized 3,6 . An understanding of how MDO forces are translated to condyle position, function, and growth is necessary to guide our use of the technique, reduce ill-effects, and achieve predictable results in RS patients.…”

mentioning

confidence: 99%

Spatial Analysis of the Temporomandibular Joint and Condyle Following Mandibular Distraction in Robin Sequence

Pourtaheri

Chandler

Singh

et al. 2021

Journal of Craniofacial Surgery

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To comprehensively assess changes in temporomandibular joint and mandibular condyle morphology in Robin sequence (RS) patients undergoing mandibular distraction osteogenesis (MDO). A retrospective analysis of pediatric patients with RS and functional temporomandibular joints who underwent MDO by a single surgeon was performed. Preoperative and postoperative computed tomography (CT) scans were morphometrically analyzed three-dimensional in 3-matic and Mimics (Materialise). Comparative analysis was performed using Wilcoxon signed-rank tests. Fourteen RS patients were included (28 condyles, 56 CT scans), 78% male and 22% females. The mean age at surgery was 9.4 weeks (range 1.6-46.7 weeks). The average age at initial CT was 5.3 days (range 0-11 days). The mean time interval for CT scan before MDO and after hardware removal were 8.8 AE 6.4 days and 11.2 AE 25.8 days, respectively. Rotatory changes of the condyle revealed a significantly decreased horizontal angle following MDO (-7.558, 95% confidence interval -11.138 to -3.418; P < 0.001). Anteroposteriorly, the angle between condylar process and ramus (incline) increased significantly (14.148, 95% confidence interval 10.718-19.598; P < 0.001). Intragroup analysis revealed no difference between left versus right condylar position measurements. The condyle itself increased in size and length and the intercondylion distance increased post-MDO. There were no complications and all patients achieved relief of airway obstruction without tracheostomy. Morphologic and positional changes of the mandibular condyle following MDO in RS patients parallel changes that occur during normal development in non-RS patients. As a result, MDO may facilitate normal condylar morphology and function in RS patients.

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“…Acute septic arthritis is a rare serious infection characterized by pain, fever, swelling, and often loss of function in the affected joint or joints 1) . Knees and hips are the most commonly affected joints ; the temporomandibular joint (TMJ) is infrequently affected 2) . The overall incidence of acute septic arthritis of the TMJ is thought to be 2-10 cases per 100,000 and is generally confined to adults 3) .…”

mentioning

confidence: 99%

“…The overall incidence of acute septic arthritis of the TMJ is thought to be 2-10 cases per 100,000 and is generally confined to adults 3) . A few cases in infants or children have been reported 2,4,5) . Acute septic arthritis of the TMJ has multiple etiologies including blunt trauma, head and neck infection, hematogenous dissemination from a distant focus, and recently, bisphosphonate-related necrosis of the jaw 1,6,7) .…”

mentioning

confidence: 99%

Acute Septic Arthritis of the Temporomandibular Joint: A Case Report

Naruse

Yamada

Yanamoto

et al. 2016

Jpn J Oral Diag / Oral Med

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Distraction Osteogenesis as a Treatment for Retrognathia and Obstructive Sleep Apnea Resulting From Temporomandibular Joint Septic Arthritis: A Case Report

Cited by 10 publications

References 26 publications

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

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

Spatial Analysis of the Temporomandibular Joint and Condyle Following Mandibular Distraction in Robin Sequence

Acute Septic Arthritis of the Temporomandibular Joint: A Case Report

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