Dislocation of the mandibular condyle into the middle cranial fossa. A case of temporomandibular joint arthroplasty with resorbable fixation system and temporalis myofascial flap: systematic review and meta–analysis

Díez-Suárez, Leandro; Paredes-Farrera, Gabriel Fernando

doi:10.1016/j.bjoms.2020.08.039

Cited by 6 publications

(5 citation statements)

References 33 publications

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“…5 The consequences of an impact on the temporomandibular region with condyle intrusion into the cranial fossa may vary due to factors such as the shape or size of the condylar head, pneumatization of the temporal bone, or congenital anomalies of the condyle or glenoid fossa. 6 On physical examination and imaging, the presence of these fractures is often subtle, therefore, they go unnoticed 2,4 . About 60% of patients had at least 1 sign associated with a possible injury such as this, including loss of consciousness, impairment of hearing, cranial nerves and association with other cranial fractures.…”

Section: Discussionmentioning

confidence: 99%

“…Closed reductions are thought to see more success within between 2 and 4 weeks after the injury, and can minimize growth disorders. 6,7 The preferred strategy is determined by the age of the patient, age of the injury, degree of penetration and proximity to vital structures. The subsequent reduction can be The crucial importance of accurate and prompt diagnosis in planning the treatment of these cases requires that computed tomography (CT) scans are ideally performed in these cases to assess the type of displacement.…”

Section: Discussionmentioning

confidence: 99%

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Condylar Dislocation for Intracranial Fossa: a Review of the Last 10 Years

Rodrigues

Nascimento

2021

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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ResumoO deslocamento do côndilo mandibular para dentro da fossa craniana é um evento pouco comum; quando ocorre, existe a necessidade de intervenção cirúrgica imediata e multidisciplinar. Devido ao seu advento raro, ainda não existe uma dinâmica consolidada de atendimento, visto que tal condição ainda não se mostra descrita de forma sedimentada nos bancos de dados literárias. No presente artigo fizemos uma revisão de literatura de luxação condilar para fossa intracraniana descritas nos últimos 10 anos nas bases de busca PubMed e Lilacs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Condylar Dislocation for Intracranial Fossa: a Review of the Last 10 Years

Rodrigues

Nascimento

2021

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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“…Most cranial base erosions occur because of high-impact trauma. 17 In a 2019 review, Monteiro et al 10 found that all patients with dislocation lasting longer than 2 wk underwent open surgical treatment. The case presented here is consistent with the literature because our attempt at closed reduction failed even with general anesthesia and neuromuscular blockade, necessitating open surgical reduction.…”

Section: Discussionmentioning

confidence: 99%

Surgical Reduction of Chronic Bilateral Traumatic Dislocation of the Mandibular Condyles With Erosion of the Middle Fossa Floor: Case Report With Surgical Video

Agnoletto

Couldwell

Halpern

et al. 2021

Operative Neurosurgery

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BACKGROUND: Dislocation of the mandibular condyle (MC) is not a common condition, but when a traumatic case involves erosion of the middle fossa floor, it becomes a much more complicated and even rarer pathology. OBJECTIVE: To describe the management of traumatic dislocation of the MCs with erosion of the middle fossa floor. We provide a step-by-step surgical video demonstrating reestablishment of the condylar position and occlusion. METHODS: A 65-yr-old woman with rheumatoid arthritis presented after a ground-level fall. She was admitted to the intensive care unit with simultaneous complex medical conditions, intubated, and medically treated for over a month. She was seen in outpatient follow-up 2 mo later and noted to have an anterior open bite and bilateral temporomandibular joint pain. Computed tomography of the face showed bilateral dislocation of the MCs with erosion of the middle fossa floor. RESULTS: Open surgical treatment with bilateral eminectomies was performed to obtain adequate reduction, involving a multidisciplinary team including neurosurgery, oralmaxillofacial surgery, and otolaryngological surgery. She did well postoperatively. CONCLUSION: Multiple factors predispose a patient to MC dislocation, but we believe the catalyst in this case was significant manipulation of the jaw during endotracheal intubation. A chronic postoperative open bite can lead to much more difficult treatment, given bony erosion and fibrotic tissue formation. This case highlights the challenges of diagnosis and treatment of a bilateral traumatic dislocation and provides a surgical video reference description of repair and resolution.

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“…After open reduction, the glenoid fossa should be reconstructed to ensure separation from the cranial cavity and re-establish a functional articulation using autogenous or alloplastic material, including bone [17,35,38,42,45,49,51,[55][56][57][58][59]66,68,80,84,97,98,102], cartilage [52,58,60,69], temporalis fascia [29,37,64,71,80,95,101,109], temporalis muscle [62,63,73,96,103,106], titanium plates [40,47,81,88,89], silicon [22,37], Silastic [16], Gelfoam [7], or Duragen [86] (Table S2). Reconstruction of the condyle is required t...…”

Section: Etiology and Treatment Of Intracranial Dislocation Of The Co...mentioning

confidence: 99%

Superior Dislocation of the Mandibular Condyle into the Middle Cranial Fossa: A Comprehensive Review of the Literature

Yoshida

2023

JCM

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The superior dislocation of the condyle into the cranium occasionally requires invasive procedures due to the absence of a timely diagnosis. This review analyzed the available clinical data to provide information on treatment decisions. The reports were assessed using electronic medical databases from inception to 31 October 2022. A total of 116 cases from 104 studies were assessed; among the patients, 60% and 87.5% of the affected women and men required open reduction, respectively. The ratio of closed to open procedures within 7 days after injury was maintained; however, closed reduction decreased over time, and all cases required open reduction after 22 days. Eighty percent of the patients with a total intrusion of the condyle required open reduction, whereas the frequency for both procedures was comparable in the remaining patients. Open reduction was significantly more frequently performed for men (p = 0.026, odds ratio; 4.959, 95% confidence interval; 1.208–20.365) and less frequently performed in cases with partial intrusion (p = 0.011; odds ratio: 0.186; 95% confidence interval: 0.051–0.684); the frequency varied according to the time until treatment (p = 0.027, odds ratio; 1.124, 95% confidence interval; 1.013–1.246). Appropriate diagnostic imaging and prompt diagnosis are indispensable for minimally invasive treatment of this condition.

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Dislocation of the mandibular condyle into the middle cranial fossa. A case of temporomandibular joint arthroplasty with resorbable fixation system and temporalis myofascial flap: systematic review and meta–analysis

Cited by 6 publications

References 33 publications

Condylar Dislocation for Intracranial Fossa: a Review of the Last 10 Years

Condylar Dislocation for Intracranial Fossa: a Review of the Last 10 Years

Surgical Reduction of Chronic Bilateral Traumatic Dislocation of the Mandibular Condyles With Erosion of the Middle Fossa Floor: Case Report With Surgical Video

Superior Dislocation of the Mandibular Condyle into the Middle Cranial Fossa: A Comprehensive Review of the Literature

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