Septic arthritis of the temporomandibular joint: Case series and literature review

Ferraz, Alexandre Dias; Spagnol, Guilherme; Maciel, Fernando Alves; Pinotti, M; Freitas, Ronaldo Rodrigues de

doi:10.1080/08869634.2019.1661943

Cited by 9 publications

(8 citation statements)

References 19 publications

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“…It usually follows trauma, local and haematogenic infection while majority of time aetiology remains unknown 2 3. Septic arthritis has been reported after tonsillitis, otitis media and otitis externa 8–10…”

Section: Discussionmentioning

confidence: 99%

Peritonsillar abscess due to temporomandibular joint septic arthritis: an uncommon cause of a common disease

et al. 2022

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Peritonsillar abscess is a common presentation of complicated acute tonsillitis. The temporomandibular joint septic arthritis is an uncommon clinical entity while its complications are further rare. We present a case of a man in his late 30s who presented with a painful swelling in the left preauricular region along with increasing trismus. A diagnosis of peritonsillar abscess due to septic arthritis was made based on clinical history and examination. Patient recovered fully after antibiotic and abscess drainage. This is the first case report of temporomandibular septic arthritis leading to peritonsillar abscess.

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Section: Discussionmentioning

confidence: 99%

Peritonsillar abscess due to temporomandibular joint septic arthritis: an uncommon cause of a common disease

et al. 2022

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“…In addition, there is the release of proteases and antigenantibody complex formation within the joint. This profound inflammatory insult on the joint results in catabolic enzymes, causing damage and degradation to the articular surfaces and the disc of the joint (2,12,33,34).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the surgical approach allowed the irrigation of the joint compartments and the surrounding area to reduce the inflammatory burden (1,4,6,41,42). Condylectomy should be considered as the last resort and should be reserved for non-responsive osteomyelitis of the condylar process or in cases that develop ankylosis (1,12,43). Unfortunately, given the dramatic insult to the joint and the innate inability of cartilage to repair (44), therapy may not result in a long-term positive outcome, and dysfunction in the form of decreased range of motion may remain.…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosis of TMJ septic arthritis requires a physical examination and advanced diagnostic imaging, namely CT, cone-beam CT (CBCT), and, occasionally, MRI. Importantly, laboratory analysis of joint fluid obtained by arthrocentesis, or exploratory arthrotomy may be required to optimize the treatment of TMJ septic arthritis (4,(11)(12)(13). Although no gold standard exists in the management of TMJ septic arthritis, initiating therapy early, preferably based on precise information obtained from diagnostic imaging, joint decompression, and sampling (i.e., culture and sensitivity), can optimize patient outcomes (7,(14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

“…Although the management of TMJ septic arthritis has been described in human, in many reports, and in animals, in some reports, to the knowledge of the authors, a detailed description of the management of this condition in dogs has not been described in the English peer-reviewed literature in the past 10 years (1,9,12,18,19). Therefore, we sought to report our experience in the diagnosis and management of TMJ septic arthritis and report the outcome in four dogs.…”

Section: Introductionmentioning

confidence: 99%

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Management of Septic Arthritis of the Temporomandibular Joint in Dogs

Arzi

Vapniarsky

Fulton³

et al. 2021

Front. Vet. Sci.

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Septic arthritis of the temporomandibular joint (TMJ) in dogs and other mammals is a rare condition. It is typically associated with notable pain, swelling, and difficulty in opening the mouth. Unlike degenerative TMJ disease, septic arthritis requires urgent intervention. The etiology of the condition may include penetrating trauma, an extension of local infection, such as otitis media, or the hematogenous spread of a pathogen. However, the precise cause may not always be identified. Diagnostic imaging with Computed Tomography (CT), cone-beam CT (CBCT), and/or Magnetic Resonance Imaging (MRI) are helpful for honing the definitive diagnosis and formulating a treatment plan. Subsequently, exploratory surgery may be required to obtain samples for culture and sensitivity and histology and to lavage the joint. In this “methods” article, we provide a detailed description of our approach to diagnosis and management of septic TMJ arthritis in four dogs.

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