Removal of a Maxillary Third Molar Accidentally Displaced Into the Infratemporal Fossa via Intraoral Approach Under Local Anesthesia: Report of a Case

Sverzut, Cássio Edvard; Trivellato, Alexandre Elias; Sverzut, Alexander Tadeu; Matos, Fernando Pando de; Kato, Rogério Bentes

doi:10.1016/j.joms.2008.09.018

Cited by 44 publications

(58 citation statements)

References 7 publications

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“…2 As a result, an attempt to remove a displaced tooth from the infratemporal fossa could entail serious risk of hemorrhage or neurologic injury; thus, the patient must be informed about these risks. 1 Because the exact localization of the displaced tooth is difficult to determine clinically, different radiographic techniques facilitate the surgical procedure. 6 To determine the localization of the displaced teeth, occlusal, panoramic, occipitomental, and lateral radiographs can be useful.…”

Section: Discussionmentioning

confidence: 99%

“…The authors, consistent with the literature, agree that the CT analysis provides superior imaging of the region and therefore is strongly recommended. 1,8 The removal time of the displaced tooth is controversial in the literature. Some authors propose to deliver the tooth immediately because of the risks of infection, foreign body reaction, or trismus.…”

Section: Discussionmentioning

confidence: 99%

“…1 On the other hand, the frequency of complications tends to increase as the number of surgical extractions of impacted third molars increases. These complications include fractures of the maxillary tuberosity, tooth root fractures, perforations of the maxillary sinus, prolapses of the buccal fat pad, and the displacements of the roots or teeth into the maxillary sinuses.…”

mentioning

confidence: 99%

“…These complications include fractures of the maxillary tuberosity, tooth root fractures, perforations of the maxillary sinus, prolapses of the buccal fat pad, and the displacements of the roots or teeth into the maxillary sinuses. 1,2 Other possible complications include alveolar osteitis, infection, dysestesia, hemorrhage, trismus, facial swelling and bruising, orofacial pain, and the anesthetic difficulties. 3 The accidental displacement of a maxillary third molar into the infratemporal fossa is a frequently mentioned but rarely reported complication associated with maxillary third-molar surgery.…”

mentioning

confidence: 99%

“…3 The accidental displacement of a maxillary third molar into the infratemporal fossa is a frequently mentioned but rarely reported complication associated with maxillary third-molar surgery. 1,4 This clinical report describes the location and the delayed surgical removal of an impacted maxillary third molar accidentally displaced into the infratemporal fossa. Ways to prevent the displacement of the third molars into anatomic spaces and the treatment options, as well as the timing of the surgery, are discussed.…”

mentioning

confidence: 99%

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Delayed Removal of a Maxillary Third Molar Accidentally Displaced Into the Infratemporal Fossa

Selvi

Çakarer

Keskin

et al. 2011

Journal of Craniofacial Surgery

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The removal of an impacted maxillary third molar is an easy procedure for an oral and maxillofacial surgeon. The most commonly seen complications associated with this type of surgery are excessive hemorrhage, infection, pain, swelling, trismus, and root fractures. Although rarely encountered, unexpected complications may also arise during this procedure, such as the displacement of the tooth into an anatomic space. In this article, a case of a maxillary left third molar accidentally displaced into the infratemporal fossa is presented, and the delayed removal of the tooth after 3 weeks from the initial unsuccessful attempt is described, along with the correlating reasons. The role of the radiologic analysis in determining the localization of the tooth, including the routine panoramic radiographs and more importantly the volumetric computed tomographic scans, is stated. The different surgical treatment options are classified, and the potential for morbidity in the surgical removal of the tooth from the infratemporal fossa is presented by ranging the vital anatomic structures running through it.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Delayed Removal of a Maxillary Third Molar Accidentally Displaced Into the Infratemporal Fossa

Selvi

Çakarer

Keskin

et al. 2011

Journal of Craniofacial Surgery

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Delayed retrieval of a displaced maxillary third molar from infratemporal space via trans-sinusoidal approach: a case report and the review of the literature

Şençimen

Gülses

Seçer

et al. 2016

Oral Maxillofac Surg

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Access for surgical removal of the tooth from the infratemporal fossa is not only difficult but also has potential for morbidity due to the structures running through it. Wide incision in the maxillary sulcus and blunt dissection are reported with lower success rates and usually necessitate a second intervention via extraoral route. Trans-sinusoidal approach might be an old fashioned but relatively successfully attempt in the removal of the upper third molars from the infratemporal fossa. Considering the time of removal, if no symptoms were present, it is beneficial to wait for a couple of weeks thus facilitating development of fibrous surrounding around the tooth.

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Lower third molar displaced to lateral pharyngeal space after mandibular angle fracture: a case report

Pereira

Silva

Bonardi

et al. 2018

Oral Maxillofac Surg

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The removal of displaced dental elements from deep anatomical spaces is a condition that requires the knowledge of the region and skills to perform the procedure. The lateral pharyngeal space contains important structures such as the internal carotid artery and close proximity with the cranium basis. The aim of this paper is to report a clinical case of a lower third molar displaced to the lateral pharyngeal space after a mandibular angle fracture and its treatment by surgical intervention. The tooth was removed under general anesthesia by direct approach and the fracture was reduced and fixed with a plate and screws. This case report illustrates the importance of an immediate procedure to avoiding severe complications and further damage to important anatomical structures.

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Removal of a Maxillary Third Molar Accidentally Displaced Into the Infratemporal Fossa via Intraoral Approach Under Local Anesthesia: Report of a Case

Cited by 44 publications

References 7 publications

Delayed Removal of a Maxillary Third Molar Accidentally Displaced Into the Infratemporal Fossa

Delayed Removal of a Maxillary Third Molar Accidentally Displaced Into the Infratemporal Fossa

Delayed retrieval of a displaced maxillary third molar from infratemporal space via trans-sinusoidal approach: a case report and the review of the literature

Lower third molar displaced to lateral pharyngeal space after mandibular angle fracture: a case report

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