Osteomyelitis of the mandibular condyle: a case report
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Abstract
Osteomyelitis of the mandibular condyle is rare especially when arising from an odontogenic infection spreading to adjacent fascial spaces. Signs and symptoms of the masticatory space infection may mimic temporomandibular disorder (TMD) and lead to delayed diagnosis and improper treatment. This article aimed to report investigation, diagnosis and management of a case of condylar osteomyelitis. The patient had suffered the symptom after upper posterior tooth had been extracted. Due to the presenting symptom of trismus, misdiagnosis of TMD occurred. After further radiologic examinations, computed tomography (CT) and magnetic resonance imaging (MRI), the infratemporal space infection with osteomyelitis of the condyle was diagnosed. Drainage and condylectomy with decortication were performed. After 1-year follow up, deviation while mouth opening was observed. In summary, CT and MRI are essential examinations when osteomyelitis of the condyle is suspected. A combination of condylectomy and antibiotic therapy without reconstruction led to satisfactory result.
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