Septic arthritis of the temporomandibular joint: Review of the literature and report of two cases in children

Leighty, Steve M.; Spach, David H.; Myall, Robert W.T.; Burns, Jane L.

doi:10.1016/s0901-5027(05)80519-3

Cited by 93 publications

(100 citation statements)

References 32 publications

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“…As a consequence of this, patients present with severe maxillofacial alteration that will lead to TMJ ankylosis. As obtained in this study and in consistent with previous reports, it is slightly commoner in males than females [3,4]. Likewise unilateral ankylosis is reported to be commoner than the bilateral type [4].…”

Section: Discussionsupporting

confidence: 92%

“…The most common cause of this condition is periarticular fibrosis, occurring as a sequel to trauma, infection, radiotherapy or neoplasm [3,8]. Because the development of TMJ ankylosis is slow and concealed, it is sometimes overlooked or neglected by the patients and the dental/ medical professionals until the mouth opening is completely restricted.…”

Section: Discussionmentioning

confidence: 99%

“…Temporomandibular joint ankylosis (TMJ) is a debilitating clinical condition which often results in aesthetics and functional impairment around the orofacial region [1][2][3][4]. This ankylosis is classified as intracapsular or extracapsular; fibrous, bony or fibro-osseous; complete or incomplete; and unilateral or bilateral [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of Extra-Capsular Temporo-Mandibular Joint Ankylosis: Does Conservative Approach to Treatment Have a Role?

Anyanechi

Osunde

Bassey

2014

J. Maxillofac. Oral Surg.

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Background The conventional management of fibrous extracapsular temporo-mandibular joint (TMJ) ankylosis, a debilitating disease, is associated with surgical complications and financial burden on the patients. Objective To assess the outcome of conservative approach to the management of fibrous extracapsular TMJ ankylosis. Patients and methods This is a prospective study of patients who presented at the Dental and Maxillofacial Surgery Clinic of the University of Calabar Teaching Hospital, Nigeria, during the period from January 1999 to December 2012 with a history of inability to open the mouth diagnosed as fibrous extracapsular TMJ ankylosis. Results Twenty-one subjects were treated and their ages ranged from 11 to 22 years with mean at 15.0 years. There were 13 (61.9 %) males and 8 (38.1 %) females with male: female ratio of 1.6:1. The aetiological factor that predisposed to formation of extracapsular TMJ ankylosis was facial trauma. There was no facial asymmetry and the side distribution of the affliction showed that 1 (4.8 %) was bilateral while 20 (95.2 %) were unilateral. Eight cases (38.1 %) were incomplete ankylosis while the rest (n = 13, 61.9 %) were complete. The shorter the duration of fibrous ankylosis and the greater the initial inter-incisal distance before treatment, the better the treatment outcome. Conclusion The outcome of treatment suggests that the conservative approach to management of this condition was beneficial to these patients because they presented early. However, randomized controlled clinical trials are needed to validate this treatment option.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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Management of Extra-Capsular Temporo-Mandibular Joint Ankylosis: Does Conservative Approach to Treatment Have a Role?

Anyanechi

Osunde

Bassey

2014

J. Maxillofac. Oral Surg.

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“…The osseous communication between the middle ear and TMJ is capable subsequently to start pathologies with doubtful origins like a TMJ septic arthritis with an occult original infectious site, but in presence of infectious otitis media. (Leighty et al, 1993;Regev et al, 2003). Using the same bone connection, the edema produced by inflammatory or functional disorders from the TMJ can spread through the petrotympanic fissure to the middle ear a fluid collection and generate vulnerable infection (otitis media) via this route.…”

Section: Tmj and Middle Ear Adjoiningmentioning

confidence: 99%

Theories on Otic Symptoms in Temporomandibular Disorders: Past and Present

2005

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SUMMARY:For many years otic symptoms have been closely observed in TMD clinical practice. This review includes trials that meet eligibility criteria in the field of otic symptoms diagnosed and treated by a stomatognathic focal point. The aim is centered on the implications of the debated cause-effect connection between otic symptoms and TMD offering a probable bond between the TMJ, ear and adjacent structures. The rationalization is based on an embryological and anatomical approach that offers explanations on the otic pathogenic mechanisms symptoms interconnected with TMD. The accompanying reciprocity among disciplines of odontology and otolaryngology is brought together by TMD and otic referred mutual symptomatology as is showed in multiple trials. This research is an attempt that targets the integration of these two health specialties in the diagnosis and treatment of this type of population.

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“…Subsequent TMJ ankylosis can be a long-term complication. 4 TMJ ankylosis is the replacement of normal joint articulation with fibrous, fibro-osseous or bony tissues which results in partial or complete fusion of the mandibular condyle to the base of the skull. 5 It is the most severe long-term complication of septic arthritis and has a devastating presentation.…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular Joint Ankylosis as a Complication of Neonatal Septic Arthritis: Report of two cases

Al-Saadi

Bakathir

Al-Hashmi

et al. 2015

SQUMJ

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Septic arthritis of the temporomandibular joint: Review of the literature and report of two cases in children

Cited by 93 publications

References 32 publications

Management of Extra-Capsular Temporo-Mandibular Joint Ankylosis: Does Conservative Approach to Treatment Have a Role?

Management of Extra-Capsular Temporo-Mandibular Joint Ankylosis: Does Conservative Approach to Treatment Have a Role?

Theories on Otic Symptoms in Temporomandibular Disorders: Past and Present

Temporomandibular Joint Ankylosis as a Complication of Neonatal Septic Arthritis: Report of two cases

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