Intracranial condylar displacement: An unusual non-traumatic case of skull base osteomyelitis and temporal lobe abscess
We describe a 58-year-old man with a unique complication of chronic mandibular osteomyelitis. He presented with a unilateral facial nerve palsy and a non-traumatic dislocation of the mandibular condyle into the middle cranial fossa combined with a temporal lobe abscess. An odontogenic infection had...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Oral and Maxillofacial Surgery Cases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214541922000189 |
| _version_ | 1818213987277340672 |
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| author | Marvin D'Hondt, MD Renaat Coopman, DDS, MD Matthias Ureel, MD, DDS Frederic Acke, MD, Phd Giorgio Hallaert, MD, Phd Hubert Vermeersch, MD, Phd |
| author_facet | Marvin D'Hondt, MD Renaat Coopman, DDS, MD Matthias Ureel, MD, DDS Frederic Acke, MD, Phd Giorgio Hallaert, MD, Phd Hubert Vermeersch, MD, Phd |
| author_sort | Marvin D'Hondt, MD |
| collection | DOAJ |
| description | We describe a 58-year-old man with a unique complication of chronic mandibular osteomyelitis. He presented with a unilateral facial nerve palsy and a non-traumatic dislocation of the mandibular condyle into the middle cranial fossa combined with a temporal lobe abscess. An odontogenic infection had already been festering for 18 months. After stereotactic puncture, P. Aeruginosa was cultured out of the brain abscess and the patient was treated with a culture-based antibiotic therapy followed by condylectomy and myofascial temporalis flap. One year after the surgery, the patient had a partial ossification of the glenoid fossa, recovered mouth opening and sufficient function. This report shows that the rare complication of chronic mandibular osteomyelitis with concurrent brain abscess can be treated successfully using a combination of aggressive long-term culture-based antibiotic treatment and a multidisciplinary surgical approach. |
| first_indexed | 2024-12-12T06:13:01Z |
| format | Article |
| id | doaj.art-80a628afb0724bdf880a49940484db0a |
| institution | Directory Open Access Journal |
| issn | 2214-5419 |
| language | English |
| last_indexed | 2024-12-12T06:13:01Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral and Maxillofacial Surgery Cases |
| spelling | doaj.art-80a628afb0724bdf880a49940484db0a2022-12-22T00:35:07ZengElsevierOral and Maxillofacial Surgery Cases2214-54192022-06-0182100259Intracranial condylar displacement: An unusual non-traumatic case of skull base osteomyelitis and temporal lobe abscessMarvin D'Hondt, MD0Renaat Coopman, DDS, MD1Matthias Ureel, MD, DDS2Frederic Acke, MD, Phd3Giorgio Hallaert, MD, Phd4Hubert Vermeersch, MD, Phd5Department of Oromaxillofacial and Plastic Surgery, Ghent University Hospital, Ghent, Belgium; Corresponding author. Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.Department of Oromaxillofacial and Plastic Surgery, Ghent University Hospital, Ghent, BelgiumDepartment of Oromaxillofacial and Plastic Surgery, Ghent University Hospital, Ghent, BelgiumDepartment of Otorhinolaryngology, Ghent University Hospital, Ghent, BelgiumDepartment of Neurosurgery, Ghent University Hospital, Ghent, BelgiumDepartment of Plastic and Reconstructive Surgery, Ghent University Hospital, Ghent, BelgiumWe describe a 58-year-old man with a unique complication of chronic mandibular osteomyelitis. He presented with a unilateral facial nerve palsy and a non-traumatic dislocation of the mandibular condyle into the middle cranial fossa combined with a temporal lobe abscess. An odontogenic infection had already been festering for 18 months. After stereotactic puncture, P. Aeruginosa was cultured out of the brain abscess and the patient was treated with a culture-based antibiotic therapy followed by condylectomy and myofascial temporalis flap. One year after the surgery, the patient had a partial ossification of the glenoid fossa, recovered mouth opening and sufficient function. This report shows that the rare complication of chronic mandibular osteomyelitis with concurrent brain abscess can be treated successfully using a combination of aggressive long-term culture-based antibiotic treatment and a multidisciplinary surgical approach.http://www.sciencedirect.com/science/article/pii/S2214541922000189Brain abscessDislocation condyleMiddle cranial fossaSkull base osteomyelitis |
| spellingShingle | Marvin D'Hondt, MD Renaat Coopman, DDS, MD Matthias Ureel, MD, DDS Frederic Acke, MD, Phd Giorgio Hallaert, MD, Phd Hubert Vermeersch, MD, Phd Intracranial condylar displacement: An unusual non-traumatic case of skull base osteomyelitis and temporal lobe abscess Oral and Maxillofacial Surgery Cases Brain abscess Dislocation condyle Middle cranial fossa Skull base osteomyelitis |
| title | Intracranial condylar displacement: An unusual non-traumatic case of skull base osteomyelitis and temporal lobe abscess |
| title_full | Intracranial condylar displacement: An unusual non-traumatic case of skull base osteomyelitis and temporal lobe abscess |
| title_fullStr | Intracranial condylar displacement: An unusual non-traumatic case of skull base osteomyelitis and temporal lobe abscess |
| title_full_unstemmed | Intracranial condylar displacement: An unusual non-traumatic case of skull base osteomyelitis and temporal lobe abscess |
| title_short | Intracranial condylar displacement: An unusual non-traumatic case of skull base osteomyelitis and temporal lobe abscess |
| title_sort | intracranial condylar displacement an unusual non traumatic case of skull base osteomyelitis and temporal lobe abscess |
| topic | Brain abscess Dislocation condyle Middle cranial fossa Skull base osteomyelitis |
| url | http://www.sciencedirect.com/science/article/pii/S2214541922000189 |
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