Abstract
The objective of this study is to describe the complication of temporomandibular joint (TMJ) ankylosis consequent to otitis media. The method applied is prospective case series and data collection done in tertiary referral centre from April 2012 to April 2013. Case description of three adolescent male patients with unilateral TMJ ankylosis consequent to ipsilateral chronic suppurative otitis media. Further literature review of TMJ ankylosis in relation to otitis media for evaluation for predisposing conditions. Surgical treatment by ipsilateral canal wall down mastoidectomy and concurrent TMJ gap arthroplasty. Surgical exposure confirmed ipsilateral bony ankylosis in all three. Two cases with long standing trismus had developed contralateral disuse fibrous ankylosis and required bilateral gap arthroplasty. Relief of trismus achieved in all three cases. Literature review indicated three similar cases secondary to otitis media. A universal feature among all previous case reports and the current case series was the age at onset of trismus, being at 10 years or less in all. TMJ ankylosis is a rare but potential complication of paediatric ear suppuration. Dehiscence along the tympanosquamosal fissure, tympanic plate and the foraminae of Huschke and Santorini in the paediatric population may predispose to extension of tympanic suppuration to the TMJ.
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References
Glasscock ME, Gulya A (2005) Glasscock—Shambaugh surgery of the ear. BC Decker Inc Ontario
Faerber TH, Ennis RL, Allen GA (1990) Temporomandibular joint ankylosis following mastoiditis: report of a case. J Oral Maxillofac Surg 48(8):866–870
El-Moft S (1972) Ankylosis of the temporomandibular joint. Oral Surg Oral Med Oral Pathol 33(4):650–660
Dingle AF (1992) Fistula between the external auditory canal and the temporomandibular joint: a rare complication of otitis externa. J Laryngol Otol 106:994–995
Aarnisalo AA, Tervahartiala P, Jero J, Tornwall J (2008) Surgical treatment of chronic otitis media with temporomandibular joint involvement. Auris Nasus Larynx 35:552–555
Hadlock TA, Ferraro NF, Rahbar R (2001) Acute mastoiditis with temporomandibular joint effusion. Otolaryngol Head Neck Surg 125:111–112
Takes RP, Langeveld APM, De Jong RJB (2000) Abscess formation in the temporomandibular joint as a complication of otitis media. J Laryngol Otol 114:373–375
Weteid AA, El Ekrish A, Al Mutairi K, Al Foghm S (2000) Temporomandibular joint ankylosis caused by mastoiditis: presentation of a rare case and literature review. Saudi Dent J 12:103–105
Kim JS, Kim MJ, Seo HK, Han SY, Chang HH (1998) Temporomandibular joint ankylosis caused by otitis media in childhoods: report of a case. J Korean Assoc Oral Maxillofac Surg 24(1):111–117
Wang RG, Bingham B, Hawke M, Kwok P, Li R (1991) Persistence of the foramen of Huschke in the adult: an osteological study. J Otolaryngol 20:251–253
Smith JA, Sandler NA, Ozaki WH, Braun TW (1999) Subjective and objective assessment of the temporalis myofascial flap in previously operated temporomandibular joints. J Oral Maxillofac Surg 57:1058–1065
Moffett B (1986) The morphogenesis of the temporomandibular joint. Am J Orthod 52:401
Kaban LB, Perrott DH, Fisher K (1990) A protocol for management of temporomandibular joint ankylosis. J Oral Maxillofac Surg 48:1145–1151
Chidzonga MM (1999) Temporomandibular joint ankylosis: review of thirty-two cases. Br J Oral Maxillofac Surg 37:123–126
Su-Gwan K (2001) Treatment of temporomandibular joint ankylosis with temporalis muscle and fascia flap. Int J Oral Maxillofac Surg 30:189–193
Zhi K, Ren W, Zhou H, Gao L, Zhao L, Hou C, Zhang Y (2009) Management of temporomandibular joint ankylosis: 11 years’clinical experience. Surg Oral Med Oral Pathol Oral Radiol Endod 108:687–692
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Kumar, R., Hota, A., Sikka, K. et al. Temporomandibular Joint Ankylosis Consequent to Ear Suppuration. Indian J Otolaryngol Head Neck Surg 65 (Suppl 3), 627–630 (2013). https://doi.org/10.1007/s12070-013-0666-2
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DOI: https://doi.org/10.1007/s12070-013-0666-2