Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris · 2009
[Childhood septic temporomandibular arthritis].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Hammoudi K, Manceau A, Cazeneuve N, Poulain D, Buis J, Soin C
Аннотация
OBJECTIVE: To report a clinical case of acute otitis media in a child, complicated by septic temporomandibular arthritis and to present a review of the literature.
PATIENT AND METHODS: We report a case of a 7-year-old boy who presented an altered general condition, major hyperthermia, associated with a left temporozygomatic mass in a context of recurrent bilateral acute otitis media lasting for 2 months. Emergency computed tomodensitometry (CT scan) showed left temporomandibular joint arthritis. Treatment consisted of a parenteral double antibiotic therapy and prevention of temporomandibula (TM) ankylosis.
RESULTS: After 20 months of follow-up, the child showed a normal ORL examination with no maxillofacial sequelae.
CONCLUSION: All temporozygomatic masses presenting in a septic context should suggest the diagnosis of TM arthritis; computed tomodensitometry should be done immediately.
PATIENT AND METHODS: We report a case of a 7-year-old boy who presented an altered general condition, major hyperthermia, associated with a left temporozygomatic mass in a context of recurrent bilateral acute otitis media lasting for 2 months. Emergency computed tomodensitometry (CT scan) showed left temporomandibular joint arthritis. Treatment consisted of a parenteral double antibiotic therapy and prevention of temporomandibula (TM) ankylosis.
RESULTS: After 20 months of follow-up, the child showed a normal ORL examination with no maxillofacial sequelae.
CONCLUSION: All temporozygomatic masses presenting in a septic context should suggest the diagnosis of TM arthritis; computed tomodensitometry should be done immediately.