Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-23T09:30:21.063Z Has data issue: false hasContentIssue false
  • English
  • Français

Osteomyelitis of the temporomandibular joint in patients with malignant otitis externa

Published online by Cambridge University Press:  29 June 2007

Katie I. Midwinter ,
Kanwar S. Gill ,
John A. Spencer  and
Iain D. Fraser
Katie I. Midwinter*
Affiliation:
Department of OtorhinolaryngologySt James's and Seacroft Hospital Trust, Leeds, UK.
Kanwar S. Gill
Affiliation:
Department of Radiology, St James's and Seacroft Hospital Trust, Leeds, UK.
John A. Spencer
Affiliation:
Department of Radiology, St James's and Seacroft Hospital Trust, Leeds, UK.
Iain D. Fraser
Affiliation:
Department of OtorhinolaryngologySt James's and Seacroft Hospital Trust, Leeds, UK.
*
Address for correspondence: Miss K. Midwinter, Department of ENT, Royal Hallamshire HospitalGlossop Road, Sheffield S10 2JF.
Get access Rights & Permissions [Opens in a new window]

Abstract

Malignant (invasive) otitis externa is an infection involving the external ear canal, often in elderly diabetic patients, which carries a high morbidity and mortality. It may involve widespread areas of soft tissue around the skull base, and in more advanced cases, may give rise to osteomyelitis and cranial neuropathy. We describe two patients who were treated for malignant otitis externa complicated by destructive osteomyelitis of the temporomandibular joint (TMJ). For both patients, diagnosis was made using magnetic resonance imaging (MRI), and repeat scans were employed during follow-up. Improved scan appearances mirrored improvements in clinical condition in both cases.

Keywords

Otitis externaOsteomyelitisTemporomandibular jointMagnetic resonance imaging
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 5 , May 1999 , pp. 451 - 453
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Amarosa, L., Mondugno, G. C., Pirodda, A. (1996) Malignant external otitis: Review and personal experience. Acta Otolaryngologica (Suppl 521): 3–16.CrossRefGoogle Scholar
Chandler, J. R. (1968) Malignant external otitis. Laryngoscope 78: 1257–1294.CrossRefGoogle ScholarPubMed
Dingle, A. F. (1992) Fistula between EAC and TMJ: a rare complication of OE. Journal of Laryngology and Otology 106: 994–995.CrossRefGoogle Scholar
Drew, S. J., Himmelfarb, R., Sciubba, J. J. (1993) Invasive (malignant) external otitis progressing to osteomyelitis of the temporomandibular joint: A case report. Journal of Oral and Maxillofacial Surgery 51: 429–431.CrossRefGoogle ScholarPubMed
Gherini, S. G., Brackman, D. E., Bradley, W. G. (1986) Magnetic resonance imaging and computerized tomography in malignant external otitis. Laryngoscope 96: 542–548.CrossRefGoogle ScholarPubMed
Levenson, M. J., Parisier, S. C., Dolitsk, J., Bindra, G. (1991) Ciprofloxacin: Drug of choice in the treatment of malignant external otitis. Laryngoscope 101: 821–824.CrossRefGoogle ScholarPubMed
Rubin, J., Curtin, H. D., Yu, V. L. (1990) Necrotizing (malignant) external otitis: Prospective comparison of CT and MR imaging in diagnosis and follow-up. Radiology 196: 499–504.Google Scholar
Slattery, W. H., Brackmann, D. E. (1996) Skull base osteomyelitis: Malignant external otitis. Otorhinolaryngologic Clinics of North America 29(5): 795–806.CrossRefGoogle ScholarPubMed