Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Temporomandibular Joint Disorder from Skull Base Osteomyelitis: A Case Report

측두하악관절 장애를 보인 두개저 골수염: 증례보고

  • Ryu, Byoung-Gil (Department of Oral and Maxillofacial Surgery, Yeouido St. Mary's Hospital, The Catholic University of Korea) ;
  • Yoon, Hyun-Joong (Department of Oral and Maxillofacial Surgery, Yeouido St. Mary's Hospital, The Catholic University of Korea) ;
  • Lee, Sang-Hwa (Department of Oral and Maxillofacial Surgery, Yeouido St. Mary's Hospital, The Catholic University of Korea)
  • 류병길 (가톨릭대학교 여의도성모병원 구강악안면외과) ;
  • 윤현중 (가톨릭대학교 여의도성모병원 구강악안면외과) ;
  • 이상화 (가톨릭대학교 여의도성모병원 구강악안면외과)
  • Received : 2012.09.19
  • Accepted : 2012.11.23
  • Published : 2012.11.30
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Abstract

Skull base osteomyelitis is a very rare disease that affects the bone marrow of the temporal bone, sphenoid bone, occipital bone. It occurs typically chronic ear canal infections by malignant otitis externa, but some of atypical osteomyelitis have been reported. It most commonly presents old diabetic patients, and have high morbidity and mortality rate if diagnosis and treatment are delayed. However with respect to pain or dysfunction, it appeared similar to the initial symptoms of temporomandibular joint disorder. So frequently, definitive diagnosis is tend to delayed. We have clinical experience that a patient who presented with symptom similar to temporomandibular disorder, and differential diagnosised by skull base osteomyelitis. We will report this case with literature review.

Keywords

References

  1. Benecke JE Jr. Management of osteomyelitis of the skull base. Laryngoscope 1989;99:1220-3.
  2. Jeong HJ, Nam SK, Song IA, Lee SC, Kim YC. Cervicogenic headache from skull base osteomyelitis: a case report. Korean J Pain 2009;22:88-91. https://doi.org/10.3344/kjp.2009.22.1.88
  3. Rothholtz VS, Lee AD, Shamloo B, Bazargan M, Pan D, Djalilian HR. Skull base osteomyelitis: the effect of comorbid disease on hospitalization. Laryngoscope 2008;118:1917-24. https://doi.org/10.1097/MLG.0b013e31817fae0d
  4. Hsiao YC, Lee JC, Kang BH, Lin YS. Idiopathic osteomyelitis at the base of the skull. South Med J 2006;99:1121-3. https://doi.org/10.1097/01.smj.0000224745.75981.52
  5. Chang PC, Fischbein NJ, Holliday RA. Central skull base osteomyelitis in patients without otitis externa: imaging findings. AJNR Am J Neuroradiol 2003;24:1310-6.
  6. Kountakis SE, Kemper JV Jr, Chang CY, DiMaio DJ, Stiernberg CM. Osteomyelitis of the base of the skull secondary to Aspergillus. Am J Otolaryngol 1997;18:19-22. https://doi.org/10.1016/S0196-0709(97)90043-0
  7. Marzo SJ, Leonetti JP. Invasive fungal and bacterial infections of the temporal bone. Laryngoscope 2003;113:1503-7. https://doi.org/10.1097/00005537-200309000-00016
  8. Kountakis SE, Kemper JV Jr, Chang CY, DiMaio DJ, Stiernberg CM. Osteomyelitis of the base of the skull secondary to Aspergillus. Am J Otolaryngol 1997;18:19-22. https://doi.org/10.1016/S0196-0709(97)90043-0
  9. Friedman EM, Valdez TA. Otitis externa. In: Feigin RD, Cherry JD, Demmler-Harrison GJ, et al., editors. Feigin and Cherry's textbook of pediatric infectious disease. 6th ed. Philadelphia: Saunders/Elsevier; 2009. p.215.
  10. Parker KM, Nicholson JK, Cezayirli RC, Biggs PJ. Aspergillosis of the sphenoid sinus: presentation as a pituitary massand postoperative gallium-67 imaging. Surg Neurol 1996;45:354-8. https://doi.org/10.1016/0090-3019(95)00484-X
  11. Byun IY, Kim JH, Kang SH, Kim MK. Temporomandibularjoint involvement in malignant otitis externa: a case report. J Korean Assoc Oral Maxillofac Surg 2011;37:535-8. https://doi.org/10.5125/jkaoms.2011.37.6.535
  12. Jacobsen LM, Antonelli PJ. Errors in the diagnosis and management of necrotizing otitis externa. Otolaryngol Head Neck Surg 2010;143:506-9. https://doi.org/10.1016/j.otohns.2010.06.924
  13. Malone DG, O'Boynick PL, Ziegler DK, Batnitzky S, Hubble JP, Holladay FP. Osteomyelitis of the skull base. Neurosurgery 1992;30:426-31. https://doi.org/10.1227/00006123-199203000-00021
  14. Heo MS, An BM, Lee SS, Choi SC. Use of advanced imaging modalities for the differential diagnosis of pathoses mimicking temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:630-8. https://doi.org/10.1016/S1079-2104(03)00373-1
  15. Park JH, Kwon JS. Osteomyelitis involved in mandibular condyle. Korean J Oral Med 2008;33:383-6.
  16. Chang KH, Lee BH, Jeon EJ, Yeo SW. A case of giant cell tumor in the temporal bone. Korean J Otorhinolaryngol-Head Neck Surg 2007;50:1069-72.
  17. Terzic A, Becker M, Wissmeyer M, Scolozzi P. 18F-DOPA PET/CT unravels malignant paraganglioma mimicking temporomandibular joint disorder. Dentomaxillofac Radiol 2011;40: 315-9. https://doi.org/10.1259/dmfr/22707693
  18. Menezes AV, Lima MP, Mendonca JE, Haiter-Neto F, Kurita LM. Breast adenocarcinoma mimicking temporomandibular disorders: a case report. J Contemp Dent Pract 2008;9:100-6.