Differential Diagnosis for Temporomandibular Causes of Acute Inflammation Causing Progressive Swelling
Single Most Likely Diagnosis
- Temporomandibular Joint (TMJ) Abscess: This is a likely diagnosis due to the acute inflammation and progressive swelling in the temporomandibular region. An abscess in this area can cause significant pain and swelling, and if left untreated, can lead to serious complications.
Other Likely Diagnoses
- TMJ Synovitis: Inflammation of the synovial membrane within the TMJ can cause acute pain and swelling, making it a plausible diagnosis for the symptoms described.
- Dental Abscess: An abscess related to a dental infection can spread to the temporomandibular region, causing swelling and inflammation.
- Parotid Gland Infection: An infection of the parotid gland, located near the TMJ, can cause swelling and inflammation in the temporomandibular area.
Do Not Miss Diagnoses
- Ludwig's Angina: A severe infection of the submandibular space that can cause rapid swelling and potentially life-threatening airway obstruction. Although less common, it is critical to consider due to its high morbidity and mortality.
- Cavernous Sinus Thrombosis: A rare but potentially fatal condition that can arise from the spread of infection from the facial region to the cavernous sinus. Early recognition is crucial for effective management.
Rare Diagnoses
- Temporomandibular Joint Rheumatoid Arthritis: Although rheumatoid arthritis can affect the TMJ, it is less common than other forms of arthritis like osteoarthritis in this joint. It could cause inflammation and swelling but typically would be part of a broader systemic disease presentation.
- TMJ Tuberculosis: A rare condition where tuberculosis infects the TMJ, causing chronic inflammation and swelling. It is an important consideration in endemic areas or in patients with known TB.
- Temporomandibular Joint Tumor: Benign or malignant tumors affecting the TMJ can cause progressive swelling. These are rare and would typically have a more insidious onset.