Surgical treatment of chronic otitis media with temporomandibular joint involvement

Antti Aarnisalo; Pekka Tervahartiala; Jussi Jero; Jyrki Törnwall

doi:10.1016/j.anl.2007.10.013

Surgical treatment of chronic otitis media with temporomandibular joint involvement

Antti Aarnisalo, Pekka Tervahartiala, Jussi Jero, Jyrki Törnwall

Research output: Contribution to journal › Article › Scientific › peer-review

Abstract

We report a case of chronic otitis media with spread of the infection into the temporomandibular joint (TMJ), causing displacement of the joint and malocclusion. Chemotherapy of the malignant disease caused activation of the chronic ear infection with a temporomandibular joint involvement. The patient was operated twice to eradicate the infection front the mastoid, middle car and temporomandibular joint. A radical cavity with musculoperiosteal flap obliteration was created. The Joint was isolated from the radical cavity with a thin vascularized temporomyofascial flap. No restriction in the movements of the temporomandibular joint Could be noted in the follow-up. After the Surgeries chemotherapy Could continue Without Signs of inflammation in the temporomandibular joint or mastoid region. Prompt Surgical intervention is indicated when temporomandibular joint symptoms arise in cases of chronic otitis media. (C) 2007 Elsevier Ireland Ltd. All rights reserved.

Original language	English
Journal	Auris-nasus-larynx.
Volume	35
Issue number	4
Pages (from-to)	552-555
Number of pages	4
ISSN	0385-8146
DOIs	https://doi.org/10.1016/j.anl.2007.10.013
Publication status	Published - 2008
MoE publication type	A1 Journal article-refereed

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10.1016/j.anl.2007.10.013

Cite this

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title = "Surgical treatment of chronic otitis media with temporomandibular joint involvement",

abstract = "We report a case of chronic otitis media with spread of the infection into the temporomandibular joint (TMJ), causing displacement of the joint and malocclusion. Chemotherapy of the malignant disease caused activation of the chronic ear infection with a temporomandibular joint involvement. The patient was operated twice to eradicate the infection front the mastoid, middle car and temporomandibular joint. A radical cavity with musculoperiosteal flap obliteration was created. The Joint was isolated from the radical cavity with a thin vascularized temporomyofascial flap. No restriction in the movements of the temporomandibular joint Could be noted in the follow-up. After the Surgeries chemotherapy Could continue Without Signs of inflammation in the temporomandibular joint or mastoid region. Prompt Surgical intervention is indicated when temporomandibular joint symptoms arise in cases of chronic otitis media. (C) 2007 Elsevier Ireland Ltd. All rights reserved.",

author = "Antti Aarnisalo and Pekka Tervahartiala and Jussi Jero and Jyrki T{\"o}rnwall",

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language = "English",

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T1 - Surgical treatment of chronic otitis media with temporomandibular joint involvement

AU - Aarnisalo, Antti

AU - Tervahartiala, Pekka

AU - Jero, Jussi

AU - Törnwall, Jyrki

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N2 - We report a case of chronic otitis media with spread of the infection into the temporomandibular joint (TMJ), causing displacement of the joint and malocclusion. Chemotherapy of the malignant disease caused activation of the chronic ear infection with a temporomandibular joint involvement. The patient was operated twice to eradicate the infection front the mastoid, middle car and temporomandibular joint. A radical cavity with musculoperiosteal flap obliteration was created. The Joint was isolated from the radical cavity with a thin vascularized temporomyofascial flap. No restriction in the movements of the temporomandibular joint Could be noted in the follow-up. After the Surgeries chemotherapy Could continue Without Signs of inflammation in the temporomandibular joint or mastoid region. Prompt Surgical intervention is indicated when temporomandibular joint symptoms arise in cases of chronic otitis media. (C) 2007 Elsevier Ireland Ltd. All rights reserved.

AB - We report a case of chronic otitis media with spread of the infection into the temporomandibular joint (TMJ), causing displacement of the joint and malocclusion. Chemotherapy of the malignant disease caused activation of the chronic ear infection with a temporomandibular joint involvement. The patient was operated twice to eradicate the infection front the mastoid, middle car and temporomandibular joint. A radical cavity with musculoperiosteal flap obliteration was created. The Joint was isolated from the radical cavity with a thin vascularized temporomyofascial flap. No restriction in the movements of the temporomandibular joint Could be noted in the follow-up. After the Surgeries chemotherapy Could continue Without Signs of inflammation in the temporomandibular joint or mastoid region. Prompt Surgical intervention is indicated when temporomandibular joint symptoms arise in cases of chronic otitis media. (C) 2007 Elsevier Ireland Ltd. All rights reserved.

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DO - 10.1016/j.anl.2007.10.013

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