Akın Vural, Yasan Hasan, Karaosmanoğlu Akın Deniz, Irmak Çaglar, Tanlak Erdinç
Department of Otorhinolaryngology and Head and Neck Surgery, Yüksekova State Hospital, Hakkari, TUR.
Department of Otorhinolaryngology and Head and Neck Surgery, Süleyman Demirel University, Isparta, TUR.
Cureus. 2024 Nov 4;16(11):e73026. doi: 10.7759/cureus.73026. eCollection 2024 Nov.
Septic arthritis of the temporomandibular joint is a rare pathology. There is no consensus in the literature regarding etiopathogenesis and treatment. Pain, swelling, trismus, and mandibular deviation are common. If diagnosis is delayed and appropriate treatment is not given, complications such as osteomyelitis, ankylosis, and systemic spread may develop. This article presents the case of an 85-year-old male patient with septic arthritis of the temporomandibular joint, including clinical, laboratory, and radiological features, accompanied by relevant literature. Since treatment was started early and there were no comorbidities, the disease was controlled without the need for surgical intervention or any complications. The case presented in this article is one of the oldest patients in the literature. Decreased oral intake due to loss of function of the temporomandibular joint in geriatric patients may predispose them to systemic spread.
颞下颌关节化脓性关节炎是一种罕见的病症。关于其病因发病机制和治疗，文献中尚无共识。疼痛、肿胀、牙关紧闭和下颌偏斜很常见。如果诊断延迟且未给予适当治疗，可能会出现骨髓炎、关节强直和全身扩散等并发症。本文介绍了一例85岁男性颞下颌关节化脓性关节炎患者的病例，包括临床、实验室和影像学特征，并附有相关文献。由于早期开始治疗且无合并症，该疾病得到控制，无需手术干预或出现任何并发症。本文介绍的病例是文献中年龄最大的患者之一。老年患者因颞下颌关节功能丧失导致口腔摄入量减少，可能使其易发生全身扩散。
