Yang Sung-Won, Cho Jin-Yong, Kim Hyeon-Min
Department of Oral and Maxillofacial Surgery, Gachon University Gil Medical Center, Incheon, Korea.
J Korean Assoc Oral Maxillofac Surg. 2016 Aug;42(4):227-30. doi: 10.5125/jkaoms.2016.42.4.227. Epub 2016 Aug 24.
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, rheumatoid 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.
颞下颌关节（TMJ）化脓性关节炎是一种罕见疾病。该疾病最常见的症状是急性错牙合、张口受限、受累颞下颌关节肿胀和压痛。这些症状常与关节盘内紊乱、类风湿关节炎、盘后炎或骨关节炎相混淆。因此，需要通过影像学检查进行鉴别诊断。通常，抗菌治疗以及通过针吸、关节镜检查或关节切开术进行手术引流是有效的治疗方法。在本研究中，一名被诊断为化脓性关节炎的患者接受了关节穿刺术和抗生素治疗，未出现明显并发症。我们呈现一例病例报告并对文献进行综述。
