Abstract
Osteomyelitis of the temporomandibular joint (TMJ) is a rare condition. Epidemiology, pathogenesis, clinical signs, and complications are presented with review of the scarce literature on this topic and our personal data. Due to the complexity of the TMJ, therapy is challenging even for the experienced clinician. As with osteomyelitis in other parts of the jawbone, surgery is one of the major pillars of therapy for bone infections in this location. Since advanced cases of osteomyelitis involving the TMJ usually demand surgical resection of the condyle, special emphasis is given this topic in the second part of this chapter, including discussion of different reconstructive procedures of the TMJ. The experience of the authors is outlined in a description of there protocol in handling of TMJ osteomyelitis.
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References
Baltensperger M. A retrospective analysis of 290 osteomyelitis cases treated in the past 30Â years at the Department of Cranio-Maxillofacial Surgery Zurich with special recognition of the classification. Med Dissertation, Zurich, 2003
Baltensperger M, Gratz K, Bruder E, Lebeda R, Makek M, Eyrich G. Is primary chronic osteomyelitis a uniform disease? Proposal of a classification based on a retrospective analysis of patients treated in the past 30 years. J Craniomaxillofac Surg 2004; 32(1):43−50
Bond SE, Saeed NR, Cussons PD, Watt-Smith SR. Reconstruction of the temporomandibular joint by the transfer of the free vasularized second metatarsal. Br J Oral Maxillofac Surg 2004; 42:241−245
Calhoun KH, Shapiro RD, Stiernberg CM, Calhoun JH, Mader JT. Osteomyelitis of the mandible. Arch Otolaryngol Head Neck Surg 1988; 114:1157−1162
Drew SJ, Himmelfarb R, Sciubba JJ. Invasive (malignant) external otitis progressing to osteomyelitis of the temporomandibular joint: a case report. J Oral Maxillofac Surg 1993; 51:429−431
Eyrich GK, Harder C, Sailer HF, Langenegger T, Bruder E, Michel BA. Primary chronic osteomyelitis associated with synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO syndrome). J Oral Pathol Med 1999; 28(10):456−464
Figueroa AA, Gans BJ, Pruzansky S. Long-term follow-up of mandibular costochondral graft. Oral Surg 1984; 58:214
Groot RH, Ongerboer de Visser BW, van Merkesteyn JP, Speelman JD, Bras J. Changes in masseter inhibitory reflex responses in patients with diffuse sclerosing osteomyelitis of the mandible. Oral Surg Oral Med Oral Pathol 1992a; 74(6):727−732
Groot RH, van Merkesteyn JP, van Soest JJ, Bras J. Diffuse sclerosing osteomyelitis (chronic tendoperiostitis) of the mandible. An 11-year follow-up report. Oral Surg Oral Med Oral Pathol 1992b; 74(5):557−560
Kanemoto K, Suzuki R, Okano T, Nagumo M. Osteomyelitis of the mandibular condyle: report of a case. J Oral Maxillofac Surg 1992; 50:1337−1339
Kaufmann MG, Obwegeser HJ, Eyrich GKH, Grätz KW. Die solitäre abszedierende Osteomyelitis des Kieferköpfchens: Eine Rarität. Mund Kiefer Gesichtschir 2005; 9(4):251−256
Ko EW, Huang CS, Chen YR. Temporomandibular joint reconstruction in children using costochondral grafts. J Oral Maxillofac Surg 1999; 57(7):789−800
Leighty SM, Spach DH, Myall RW, Burns JL. Septic arthritis of the temporomandibular joint: review of the literature and report of two cases in children. Int J Oral Maxillofac Surg 1993; 22:292−297
Lindqvist C, Pihakari A, Tasanen A, Hampf G. Autogenous costochondral grafts in temporomandibular joint arthroplasty. A survey of 66 arthroplasties in 60 patients. J Maxillofac Surg 1986; 14(3):143−149
MacIntosh RB. The use of autogenous tissues for temporomandibular joint reconstruction. J Oral Maxillofac Surg 2000; 58(1):63−69
Marsot-Dupuch K, Doyen JE, Grauer WO, de Givry SC. SAPHO syndrome of the temporomandibular joint associated with sudden deafness. Am J Neuroradiol 1999; 20(5):902−905
Mercuri LG. The use of alloplastic prostheses for temporomandibular joint reconstruction. J Oral Maxillofac Surg 2000; 58(1):70−75
Mercuri LG, Anspach WE. Principles for the revision of total alloplastic TMJ prostheses. Int J Oral Maxillofac Surg 2003; 32:353−359
Midwinter KI, Gill KS, Spencer JA, Fraser ID. Osteomyelitis of the temporomandibular joint in patients with malignant otitis externa. J Laryngol Otol 1999; 113:451−453
Obwegeser HL. Aktives chirurgisches Vorgehen bei der Osteomyelitis mandibulae. Oesterr Zschr Stomat 1960; 57:216−225
Peltomäki T. Growth of a costochondral graft in the rat temporomandibular joint. J Oral Maxillofac Surg 1992; 50:851−857
Perrott DH, Umeda H, Kaban LB. Costochondral graft construction/reconstruction of the ramus/condyle unit: long-term follow-up. Int J Oral Maxillofac Surg 1994; 23:321−328
Saeed NR, Kent JN. A retrospective study of the costochondral graft in TMJ reconstruction. Int J Oral Maxillofac Surg 2003; 32(6):606−609
Saeed NR, Hensher R, McLeod MH, Kent JN. Reconstruction of the temporomandibular joint autogenous compared with alloplastic. Br J Oral Maxillofac Surg 2002; 40:296−299
Van Loon JP, de Bont GM, Boering G. Evaluation of temporomandibular joint prostheses: review of the literature from 1946 to 1994 and implications for future prosthesis designs. J Oral Maxillofac Surg 1995; 53(9):984−997
Wax MK, Winslow CP, Hansen J, MacKenzie D, Cohen J, Anderson P, Albert T. A retrosprective analysis of temporomandibular joint reconstrucrions with the free fibula flap. Laryngoscope 2000; 110:977−981
Winiker-Blanck E, Wittstock C, Braun L, Biedermann F. Die Osteomyelitis des Kiefergelenkes. Zahn Mund Kieferheilkd Zentralbl 1978; 66:705−710
Wolford LM. Temporomandibular joint devices: treatment factors and outcomes. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 83(1):143−149
Wolford LM, Pitta MC, Reiche-Fischel O, Franco PF. TMJ Concepts/Techmedica custom-made TMJ total joint prosthesis: 5-year follow-up study. Int J Oral Maxillofac Surg 2003; 32:268−274
Wurman LH, Flannery JV Jr, Sack JG. Osteomyelitis of the mandibular condyle secondary to dental extractions. Otolaryngol Head Neck Surg 1979; 87:190−198
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Kaufmann, M., Obwegeser, J. (2009). Osteomyelitis of the Temporomandibular Joint. In: Baltensperger, M., Eyrich, G. (eds) Osteomyelitis of the Jaws. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-28766-7_11
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DOI: https://doi.org/10.1007/978-3-540-28766-7_11
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