Management of mandibular condyle penetration into the middle cranial fossa: Case report

• Published in: Journal of oral and maxillofacial surgery Vol. 52; no. 8; pp. 880 - 884
• Main Author: Chuong, Robert
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.08.1994; Elsevier
• Subjects: Accidents, Traffic; Adult; Biological and medical sciences; Dentistry; Ear Canal - injuries; Female; Humans; Investigative techniques, diagnostic techniques (general aspects); Malocclusion - etiology; Mandibular Condyle - injuries; Mandibular Condyle - surgery; Mandibular Injuries - complications; Mandibular Injuries - surgery; Medical sciences; Otorhinolaryngology. Stomatology. Orbit; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Temporomandibular Joint - injuries; Temporomandibular Joint - surgery; Wounds, Nonpenetrating - surgery; Case study; Human; Stomatology; Diseases of the osteoarticular system; Exploration; Computerized axial tomography; Trauma; Condyle of mandible; Maxillary disease; Dislocation; Incidence
• ISSN: 0278-2391; 1531-5053
• DOI: 10.1016/0278-2391(94)90243-7

Dislocation of the mandibular condyle into the middle cranial fossa is a rare occurrence. Severe trauma to the mandible that is transmitted to the symphysis, body, or angle typically results in fracture ipsilateral or contralateral to the site of impact or in fracture of one or both condylar necks rather than impaction through the glenoid fossa into the middle cranial cavity. A case of unilateral condylar dislocation into the middle cranial fossa after blunt trauma to the symphysis in an adult is reported. Emphasis is placed on the method of management of the bony and soft tissue injuries, with particular reference to disc displacement and its repair.