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Malignant (invasive) otitis externa involving the temporomandibular joint

Published online by Cambridge University Press:  08 March 2006

L Dobbyn
Affiliation:
the Department of Oral and Maxillofacial Surgery, Ninewells Hospital and Medical School, Tayside University Hospital Trust, Dundee, UK.
C O’Shea
Affiliation:
the Department of Oral and Maxillofacial Surgery, Ninewells Hospital and Medical School, Tayside University Hospital Trust, Dundee, UK.
P McLoughlin
Affiliation:
the Department of Oral and Maxillofacial Surgery, Ninewells Hospital and Medical School, Tayside University Hospital Trust, Dundee, UK.

Abstract

Malignant (invasive) otitis externa (MOE) is an infection involving the external auditory meatus (EAM), most often found in elderly diabetics, which carries a high morbidity and mortality. In advanced cases it may give rise to osteomyelitis and cranial neuropathies. This is a case of MOE, which invaded the posterior wall of the right temporomandibular joint (TMJ), resulting in severe trismus and pain. Subsequently, this required treatment by replacement of the glenoid fossa with a Silastic® prosthesis.

Type
Book Review
Copyright
© 2005 Royal Society of Medicine Press

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