Treatment of late-onset temporomandibular joint prosthesis infection by prosthesis revision: a case report

Oral Maxillofac Surg. 2024 Mar;28(1):451-454. doi: 10.1007/s10006-022-01136-0. Epub 2023 Jan 5.

Abstract

Late-onset infection of an inserted temporomandibular joint prosthesis is a difficult complication to treat. Most treatment protocols for late prosthetic infections include device replacement. A 40-year-old female patient with an infected and exposed temporomandibular joint prosthesis presented 3 years after implant placement. The patient was treated with prosthesis revision including fistula coverage with a temporalis muscle flap and prolonged antibiotic therapy for 10 weeks. Since completion of treatment, the patient has been infection-free.

Keywords: Prosthesis infection; Prosthesis replacement; Prosthesis revision; Temporomandibular joint.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Female
  • Humans
  • Joint Prosthesis* / adverse effects
  • Reoperation
  • Temporomandibular Joint / surgery
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents