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Lemierre syndrome leading to ankylosis of the temporomandibular joint
Affiliation:1. Otolaryngology – Head and Neck Surgery, CHUV and University of Lausanne, Switzerland;2. Addiction Medicine, Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland;3. Center for Primary Care and Public Health, University of Lausanne, Switzerland;4. Otolaryngology-Head and Neck Surgery, HUG, Switzerland;1. Junior Trainees Group of BAOMS Committee;2. Oral and Maxillofacial Surgeon, Aintree University Hospital, Liverpool;1. University of Heidelberg, Department of Oral and Maxillofacial Surgery, Im Neuenheimer Feld 400, D-69120 Heidelberg, Germany;2. Oral Surgery Practice, Hindenburgstraße 1, D-67433 Neustadt an der Weinstraße, Germany;3. Practice Clinic of Oral and Maxillofacial Surgery, Darmstädter Str. 7, D-64625 Bensheim, Germany;1. Department of Oral, Maxillofacial and Plastic Facial Surgery, University Hospital of Leipzig University, Liebigstraße 12, 04103, Germany;2. Department of Surgical Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait;3. Department of Oral, Maxillofacial and Plastic Facial Surgery, University Hospital of Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany
Abstract:
Lemierre syndrome, also known as Lemierre's disease is a rare condition that was first described by Andre Lemierre in 1936. We present a case of a 3-year-old boy who presented with ankylosis of the right temporomandibular joint (TMJ) secondary to a mastoid infection as part of Lemierre syndrome. His ankylosis resulted in restricted mouth opening, which had a considerable impact on his speech and ability to eat. Surgical treatment comprising right coronoidectomy, gap arthroplasty of the TMJ, and interpositional fat grafting, enabled him to move his jaw and function has returned. This case report highlights the consequences of Lemierre syndrome and the need for clinicians to be aware of its features and the impact it may have on patients.
Keywords:Lemierre's syndrome  Mastoiditis  Temporomandibular joint ankylosis  Coronoidectomy  Gap arthroplasty  Interpositional fat graft
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