下顎打撲を契機に発症した急性化膿性顎関節炎の1例 A case of acute suppurative temporomandibular arthritis that occurred after a mandibular blow

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著者

    • 伊藤 章 ITO Akira
    • 関西労災病院歯科口腔外科 Department of Dentistry, Oral and Maxillofacial Surgery, Kansai Rosai Hospital
    • 木全 正彰 [他] KIMATA Masaaki
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第一教室 Course for Integrated Oral Sciences and stomatology, Division of Pathogenesis and Control of Oral Disease, Osaka University, Graduated school of Dentistry (First department of Oral and Maxillofacial Surgery)
    • 森本 泰成 MORIMOTO Yasunari
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第一教室 Course for Integrated Oral Sciences and stomatology, Division of Pathogenesis and Control of Oral Disease, Osaka University, Graduated school of Dentistry (First department of Oral and Maxillofacial Surgery)
    • 古郷 幹彦 KOGO Mikihiko
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第一教室 Course for Integrated Oral Sciences and stomatology, Division of Pathogenesis and Control of Oral Disease, Osaka University, Graduated school of Dentistry (First department of Oral and Maxillofacial Surgery)

抄録

Acute suppurative arthritis of the temporomandibular joint (TMJ) is infrequently reported. We present a case of acute suppurative arthritis of the TMJ that occurred after a mandibular blow. A 71-year-old woman who was receiving prednisolone and methotrexate to treat rheumatoid arthritis was referred to our hospital because of diffuse swelling and pain in the left TMJ, buccal, and orbital regions. A malocclusion with deviation of the mandible to the contralateral side was found. The arthritis appeared 5 days after the patient had sustained an injury to the mandible. Articular space widening, an abscess of the head of the mandible nearby, and massive swelling of the lateral pterygoid muscle were found on CT scans. The condylar head of the mandible was displaced anteriorly. Approximately 2 ml of pus was aspirated by puncture from the upper joint cavity; however, bacterial culture of the pus was negative. The region of the left infratemporal fossa showed an abcess on CT scans during therapy. Treatment with antibiotics (CTM +CLDM, and CFPN-PI ) yielded an excellent result. After healing in response to treatment, no recurrence has occurred for 48 months.

Acute suppurative arthritis of the temporomandibular joint (TMJ) is infrequently reported. We present a case of acute suppurative arthritis of the TMJ that occurred after a mandibular blow. A 71-year-old woman who was receiving prednisolone and methotrexate to treat rheumatoid arthritis was referred to our hospital because of diffuse swelling and pain in the left TMJ, buccal, and orbital regions. A malocclusion with deviation of the mandible to the contralateral side was found. The arthritis appeared 5 days after the patient had sustained an injury to the mandible. Articular space widening, an abscess of the head of the mandible nearby, and massive swelling of the lateral pterygoid muscle were found on CT scans. The condylar head of the mandible was displaced anteriorly. Approximately 2 ml of pus was aspirated by puncture from the upper joint cavity; however, bacterial culture of the pus was negative. The region of the left infratemporal fossa showed an abcess on CT scans during therapy. Treatment with antibiotics (CTM +CLDM, and CFPN-PI) yielded an excellent result. After healing in response to treatment, no recurrence has occurred for 48 months.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 57(11), 596-600, 2011-11-20

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10030273072
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    023331129
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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