Intracranial dislocation of the mandibular condyle: report of two cases and review of the literature

Features and management of intracranial mandibular condyle dislocation after trauma

“…Missed or delayed diagnosis of the dislocations were reported in the cases, due to the lack of peculiar clinical symptoms and neurological signs, 14 and sometimes, the insufficient evidence of radiography. Clinical features may contain restriction of mandibular motion, preauricular pain, deviation of the chin to the affected side, ipsilateral open bite with a contralateral cross-bite, or an ipsilateral loss of the lower facial height.…”

Dislocation of the mandibular condyle into the middle cranial fossa causing an epidural haematoma

“…The aetiology of our case was most probably a direct impact on the chin caused by various kicks during the dispute. Condylar dislocation into the middle cranial fossa has been successfully diagnosed on initial examination in only half of the reported cases (Spanio et al, 2002). Besides the rarity of the injury, the lack of specific clinical symptoms may illustrate the difficulty in detecting this injury.…”

“…have been used for glenoid fossa reconstruction. Subsequently most patients have undergone maxillomandibular fixation (Melugin et al, 1997;Spanio et al, 2002;van der Linden, 2003;Cillo et al, 2005). Closed reduction has been accomplished by means of manual traction applied to the condyle in a direction dorsal-inferior to the mandible.…”

Bony eminence on the middle cranial fossa corresponding to the temporomandibular joint

“…Fracture of the MCF with or without displacement of the condyle into the MCF due to indirect force on the mandible had been widely reported (Whitacre, 1966;Seymour and Irby, 1976;Kallal et al, 1977;Zecha, 1977;Pepper and Zide, 1985;Engevall and Fischer, 1992;Benech et al, 1997;Melugin et al, 1997;Koretsch et al, 2001;Barron et al, 2002;Spanio et al, 2002;van der Linden, 2003;Cillo et al, 2005). Usually, the MCF is protected in mandibular trauma by fracture of the mandibular neck (Seymour and Irby, 1976;Zecha, 1977;Benech et al, 1997;Barron et al, 2002).…”