書誌事項
- タイトル別名
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- A case of acute suppurative temporomandibular arthritis that occurred after a mandibular blow
- シタアゴ ダボク オ ケイキ ニ ハッショウ シタ キュウセイ カノウセイ ガク カンセツエン ノ 1レイ
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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
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- 日本口腔外科学会雑誌
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日本口腔外科学会雑誌 57 (11), 596-600, 2011
社団法人 日本口腔外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282681508780032
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- NII論文ID
- 10030273072
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- NII書誌ID
- AN00189163
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- ISSN
- 21861579
- 00215163
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- NDL書誌ID
- 023331129
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
- KAKEN
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- 抄録ライセンスフラグ
- 使用不可