1
|
Yoshida K. Superior Dislocation of the Mandibular Condyle into the Middle Cranial Fossa: A Comprehensive Review of the Literature. J Clin Med 2023; 12:jcm12113781. [PMID: 37297975 DOI: 10.3390/jcm12113781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 05/29/2023] [Accepted: 05/29/2023] [Indexed: 06/12/2023] Open
Abstract
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.
Collapse
Affiliation(s)
- Kazuya Yoshida
- Department of Oral and Maxillofacial Surgery, National Hospital Organization, Kyoto Medical Center, 1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, Japan
| |
Collapse
|
2
|
Nunes Villafort R, Henrique Martins G, Jeferson Daruge R, Bruno Figueiredo Amaral M. Assessment Of Condyle Fractures Associated With Mandibular Fossa And/Or Tympanic Plate Fractures. Br J Oral Maxillofac Surg 2022; 60:1196-1201. [DOI: 10.1016/j.bjoms.2022.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 05/18/2022] [Accepted: 05/21/2022] [Indexed: 10/18/2022]
|
3
|
Crovetto-Martínez R, Vargas C, Lecumberri I, Bilbao A, Crovetto-De la Torre M, Whyte-Orozco J. Radiologic correlation between the thickness of the roof of the glenoid fossa and that of the bony covering of the superior semicircular canal. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 125:358-363. [PMID: 29402729 DOI: 10.1016/j.oooo.2017.12.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2017] [Revised: 11/22/2017] [Accepted: 12/06/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Dehiscence of the superior semicircular canal (SSC) has been associated with alteration of the temporomandibular joint, although data explaining this association are lacking. The present study examined the correlations between the presence of dehiscences and thickness of the bone covering the SSC and the roof of the glenoid fossa (RGF). STUDY DESIGN Computed tomography was used in a cross-sectional analysis of the presence of dehiscences and thickness of the bone overlying the SCC and RGF in 156 temporal bones of 78 patients. The correlations of the presence of dehiscences in the SSC and ipsilateral RGF and the thickness of bone covering the SSC and RGF were analyzed by using the χ2 or Fisher's exact test. The relationship between the thickness of the bone overlying the SCC and RGF was analyzed by using the Spearman correlation coefficient and the Kruskal-Wallis test. The relationship between the thickness of the RGF and the covering of the SCC and patient age and gender was analyzed with the general linear model. RESULTS Significant correlations were found between the presence of dehiscences and thickness of the bone overlying the SSC and RGF (P < .001). CONCLUSIONS There is a morphologic relationship between the structure of the SSC and RGF.
Collapse
Affiliation(s)
- Rafael Crovetto-Martínez
- Department of Stomatology II, Faculty of Medicine and Dentistry, University of the Basque Country/EHU, Getxo, Spain.
| | | | | | - Amaia Bilbao
- Research Unit of Basurto University Hospital, Health Services Research on Chronic Patients Network (REDISSEC), Vizcaya, Spain
| | | | - Jaime Whyte-Orozco
- Faculty of Medicine, Department of Human Anatomy and Histology, University of Zaragoza, C/ Domingo Mirall s/n, Zaragoza, Spain
| |
Collapse
|
4
|
De Mol A, Nicolielo L, Ghekiere O, Jacobs R, Politis C. Dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma. J Surg Case Rep 2017; 2017:rjx149. [PMID: 28775843 PMCID: PMC5534009 DOI: 10.1093/jscr/rjx149] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Revised: 06/18/2017] [Accepted: 07/07/2017] [Indexed: 11/17/2022] Open
Abstract
Dislocation of the mandibular condyle into the middle cranial fossa is a rare complication of mandibular trauma. We report the remarkable case of a 63-year-old patient in whom trauma 54 years prior to consultation resulted in intrusion of the right mandibular condyle into the middle cranial fossa. The diagnosis was missed because of insufficient data provided by conventional radiographies. Failure of timely diagnosis and lack of appropriate treatment resulted in temporomandibular joint ankylosis with functional impairment, disturbance of mandibular growth and dentofacial asymmetry. We emphasize the need for careful radiological investigation in case of a suspected condylar fracture or dislocation, especially when the mechanism of injury is likely to facilitate condylar intrusion. The use of CT and MR-imaging is therefore advocated.
Collapse
Affiliation(s)
- Antoni De Mol
- Faculty of Medicine, KU Leuven, Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, 3000 Leuven, Belgium
| | - Laura Nicolielo
- OMFS IMPATH Research Group, Department of Imaging and Pathology Faculty of Medicine, KU Leuven, 3000 Leuven, Belgium
| | - Olivier Ghekiere
- Department of Radiology, Jessa Hospital Hasselt and CHC Liège and Faculty of Medicine and Life Sciences, Hasselt University, 3500 Hasselt, Belgium
| | - Reinhilde Jacobs
- OMFS IMPATH research group, Department of Imaging and Pathology Faculty of Medicine, KU Leuven and Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, 3000 Leuven, Belgium
| | - Constantinus Politis
- OMFS IMPATH research group, Department of Imaging and Pathology Faculty of Medicine, KU Leuven and Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, 3000 Leuven, Belgium
| |
Collapse
|
5
|
Abstract
Traumatic injury to the temporal bone can lead to significant morbidity or mortality and knowledge of the pertinent anatomy, pathophysiology of injury, and appropriate management strategies is critical for successful recovery and rehabilitation of such injured patients. Most temporal bone fractures are caused by motor vehicle accidents. Temporal bone fractures are best classified as either otic capsule sparing or otic capsule disrupting-type fractures, as such classification correlates well with risk of concomitant functional complications. The most common complications of temporal bone fractures are facial nerve injury, cerebrospinal fluid (CSF) leak, and hearing loss. Assessment of facial nerve function as soon as possible following injury greatly facilitates clinical decision making. Use of prophylactic antibiotics in the setting of CSF leak is controversial; however, following critical analysis and interpretation of the existing classic and contemporary literature, we believe its use is absolutely warranted.
Collapse
Affiliation(s)
- Rodney C Diaz
- Department of Otolaryngology-Head and Neck Surgery, University of California Davis Medical Center, Sacramento, California, United States
| | - Brian Cervenka
- Department of Otolaryngology-Head and Neck Surgery, University of California Davis Medical Center, Sacramento, California, United States
| | - Hilary A Brodie
- Department of Otolaryngology-Head and Neck Surgery, University of California Davis Medical Center, Sacramento, California, United States
| |
Collapse
|
6
|
Arya V, Chigurupati R. Treatment Algorithm for Intracranial Intrusion Injuries of the Mandibular Condyle. J Oral Maxillofac Surg 2016; 74:569-81. [DOI: 10.1016/j.joms.2015.09.033] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Revised: 09/29/2015] [Accepted: 09/30/2015] [Indexed: 11/26/2022]
|
7
|
Pinares J, Urzúa R. Proposed radiographic protocol for central superior mandibular condyle dislocation into the middle cranial fossa: apropos of a case. Oral Radiol 2015. [DOI: 10.1007/s11282-015-0229-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
8
|
He Y, Zhang Y, Li ZL, An JG, Yi ZQ, Bao SD. Treatment of traumatic dislocation of the mandibular condyle into the cranial fossa: development of a probable treatment algorithm. Int J Oral Maxillofac Surg 2015; 44:864-70. [DOI: 10.1016/j.ijom.2014.12.016] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Accepted: 12/23/2014] [Indexed: 11/25/2022]
|
9
|
Ogura I, Sasaki Y, Kaneda T. Multidetector computed tomography of maxillofacial fractures. JAPANESE DENTAL SCIENCE REVIEW 2014. [DOI: 10.1016/j.jdsr.2014.05.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
|
10
|
Therapeutic outcomes in the treatment of unilateral glenoid fossa fractures using intermaxillary elastic traction. Ann Plast Surg 2014; 73:295-8. [PMID: 24625514 DOI: 10.1097/sap.0b013e31827a2ebd] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
INTRODUCTION This study aimed to evaluate the therapeutic outcomes of intermaxillary elastic traction in the treatment of unilateral glenoid fossa fractures. METHODS Five patients with traumatic unilateral glenoid fossa fractures were treated with intermaxillary elastic traction at the Sun Yat-Sen University Hospital of Stomatology during a 5-year period from 2006 to 2011. Pantomography and Schüller position radiographs were obtained at days 7, 28, and 90 to monitor glenoid fossa fracture healing. Removal of the intermaxillary elastic traction and the arch bar splint occurred at day 90, and the patients were advised to initiate mouth-opening exercises. RESULTS Schüller position radiographs revealed a 100% reduction rate of the glenoid fossa fracture for all patients; morphologies of the glenoid fossa and mandibular condyle were normal. Follow-up ranged from 6 months to 2 years. The occlusal relationship (degree of mouth opening) was excellent in all cases. Patient recoveries were uneventful; no complications occurred such as pain, snapping, or limitations of mouth opening. Average mouth opening was measured at 3.6 cm at the last follow-up. CONCLUSIONS Intermaxillary elastic traction is an effective, simple, and feasible method in the treatment of a glenoid fossa fracture. Accurate reduction and stable fixation may be achieved without significant complications.
Collapse
|
11
|
Vaezi T, Rajaei SA, Hosseini Abrishami M, Erfanian Taghvaei M. Dislocation of the mandibular condyle into the middle cranial fossa: a case report. Oral Maxillofac Surg 2014; 18:69-73. [PMID: 23377997 DOI: 10.1007/s10006-013-0395-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2012] [Accepted: 01/22/2013] [Indexed: 06/01/2023]
Abstract
INTRODUCTION A 32-year-old woman was admitted to our hospital following a motor vehicle accident. Her chief complaint was severe limited mouth opening and unilateral open bite on the left. METHODS Axial and coronal CT scans showed penetration of right condyle into the middle cranium through the fractured roof of glenoid fossa. A craniotomy exactly above the glenoid fossa was done. RESULTS The condyle was reduced and the glenoid fossa was reconstructed. CONCLUSION On postoperative follow-up at 6 months, the patient had no complaint, but there was a small deviation to the affected side on opening.
Collapse
Affiliation(s)
- Touraj Vaezi
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Mashhad University of Medical Science, Vakil Abad Ave., Mashhad, Iran
| | | | | | | |
Collapse
|
12
|
Prevalence of Temporal Bone Fractures in Patients with Mandibular Fractures Using Multidetector-Row CT. Clin Neuroradiol 2014; 25:137-41. [DOI: 10.1007/s00062-014-0288-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2013] [Accepted: 01/13/2014] [Indexed: 10/25/2022]
|
13
|
Ogura I, Sasaki Y, Kaneda T. Analysis of mandibular condylar and glenoid fossa fractures with computed tomography. Eur Radiol 2013; 24:902-6. [PMID: 24337861 DOI: 10.1007/s00330-013-3085-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2013] [Revised: 11/25/2013] [Accepted: 11/29/2013] [Indexed: 10/25/2022]
Abstract
OBJECTIVES The purpose of this study was to investigate the prevalence of glenoid fossa and condylar fractures in patients with mandibular fractures using multidetector computed tomography (MDCT). METHODS A prospective study was performed in 227 patients with mandibular fractures who underwent 64-MDCT. Mandibular fractures were classified into four types: median, paramedian, angle and condylar. Statistical analysis of the relationship between prevalence of condylar fractures and mandibular fracture locations was performed using χ(2) test with Fisher's exact test. A P value less than 0.05 was considered statistically significant. RESULTS The prevalence of condylar fracture was 64.8 % of all patients with mandibular fractures, 66.7 % of median type (P = 0.667), 45.5 % of paramedian type (P = 0.001) and 12.3 % of angle type (P = 0.000), respectively. Furthermore, glenoid fossa fracture was seen in 1.4 % of patients with condylar fractures. CONCLUSIONS The results of the presented study suggest focusing also on incidental findings such as glenoid fossa fractures. KEY POINTS • The prevalence of condylar fracture was 64.8 % in patients with mandibular fractures. • Glenoid fossa fracture was seen in 1.4 % of patients with condylar fractures. • The study suggests a focus on incidental findings such as glenoid fossa fractures.
Collapse
Affiliation(s)
- Ichiro Ogura
- Department of Radiology, Nihon University School of Dentistry at Matsudo, 2-870-1, Sakaecho-Nishi, Matsudo, Chiba, 271-8587, Japan,
| | | | | |
Collapse
|
14
|
Traumatic Dislocation of the Mandibular Condyle Into the Middle Cranial Fossa in an Elderly Patient. J Craniofac Surg 2013; 24:1703-5. [DOI: 10.1097/scs.0b013e31828a76b1] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
|
15
|
Anterior Dislocation of the Intact Mandibular Condyle Caused by Fracture of the Articular Eminence: An Unusual Fracture of the Temporomandibular Joint Apparatus. J Oral Maxillofac Surg 2011; 69:1046-51. [DOI: 10.1016/j.joms.2010.02.051] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2009] [Accepted: 02/26/2010] [Indexed: 11/19/2022]
|
16
|
Menon S, Sinha R. Gap arthroplasty for mandibular condyle dislocation and impaction into the middle cranial fossa. J Oral Maxillofac Surg 2008; 66:2390-3. [PMID: 18940513 DOI: 10.1016/j.joms.2008.01.064] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2008] [Accepted: 01/18/2008] [Indexed: 10/21/2022]
Affiliation(s)
- Suresh Menon
- Department of Maxillofacial Surgery, Armed Forces Medical College, Pune, India.
| | | |
Collapse
|
17
|
Temporal Bone Fractures: A Review for the Oral and Maxillofacial Surgeon. J Oral Maxillofac Surg 2008; 66:513-22. [DOI: 10.1016/j.joms.2007.08.039] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2006] [Revised: 07/30/2007] [Accepted: 08/30/2007] [Indexed: 11/20/2022]
|
18
|
Healy SM, Zwickey MR, Stamboulieh JN, Throndson RR. Closed reduction of an intracranially displaced subcondylar fracture: a case report. J Oral Maxillofac Surg 2008; 66:389-93. [PMID: 18201630 DOI: 10.1016/j.joms.2006.09.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2006] [Accepted: 09/07/2006] [Indexed: 10/22/2022]
Affiliation(s)
- Sean M Healy
- The Physicians Centre, Brazos Valley Oral and Maxillofacial Surgery, 3201 University Drive, Suite 100, Bryan, TX 77802, USA.
| | | | | | | |
Collapse
|
19
|
Tsunoda A, Sumi T, Shirakura S, Kishimoto S, Akita K. Bony eminence on the middle cranial fossa corresponding to the temporomandibular joint. Clin Anat 2007; 20:512-5. [PMID: 17226822 DOI: 10.1002/ca.20447] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
We report a nameless bony eminence over the temporomandibular joint (TMJ) and its possible clinical significance. Forty-two half heads of 21 UK Caucasian cadavers (61-95 years old, mean 84.3 +/- 8.2 years, male:female = 11:10) were used to investigate the surface of the middle cranial fossa (MCF) over the TMJ. The thickness of the bony roof of the glenoid fossa was also measured. A bony eminence over the glenoid fossa was observed in half of the specimens. Some showed a complete oval bulge, which completely reflected the contour of the glenoid fossa. The others showed a bony bulge, which partially reflected that contour. The mean (+/-SD) thickness of the bone in the roof of glenoid fossa was 1.5 +/- 1.2 mm. The mean bony thickness of specimens showing the eminence was 0.8 +/- 0.5 mm, whereas it was 2.3 +/- 1.2 mm in specimens without an eminence. These differences were statistically significant (P < 0.01). The osteological features we describe may be relevant to certain clinical problems. Traumatic dislocation of mandibular condyle, for example, might relate to a weakness of the glenoid fossa.
Collapse
Affiliation(s)
- Atsunobu Tsunoda
- Department of Otolaryngology, School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
| | | | | | | | | |
Collapse
|
20
|
Ohura N, Ichioka S, Sudo T, Nakagawa M, Kumaido K, Nakatsuka T. Dislocation of the Bilateral Mandibular Condyle Into the Middle Cranial Fossa: Review of the Literature and Clinical Experience. J Oral Maxillofac Surg 2006; 64:1165-72. [PMID: 16781355 DOI: 10.1016/j.joms.2006.03.043] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2004] [Indexed: 10/24/2022]
Affiliation(s)
- Norihiko Ohura
- Department of Plastic and Reconstructive Surgery, Saitama Medical School, Saitama, Japan.
| | | | | | | | | | | |
Collapse
|
21
|
Miyauchi K, Sano K, Nagai M, Ogasawara T, Nakamura M, Kitagawa Y, Kawamura Y. Occult fractures of articular eminence and glenoid fossa presenting as temporomandibular disorder: a case report. ACTA ACUST UNITED AC 2006; 101:e101-5. [PMID: 16731372 DOI: 10.1016/j.tripleo.2005.10.048] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2004] [Revised: 09/14/2005] [Accepted: 10/17/2005] [Indexed: 11/28/2022]
Abstract
We report an unusual case of occult fractures of the articular eminence and glenoid fossa due to a previous traffic accident presenting as a temporomandibular disorder. A 24-year-old Japanese man was referred for trismus and pain in the right temporomandibular joint, and was suspected of having temporomandibular disorder. Although the magnetic resonance image did not show displacement of the articular disk, T2-weighted images revealed disruption of the cortical low-intensity line of the right articular eminence. On a computerized tomography (CT) scan, an isolated bone fragment of the right articular eminence was clearly seen, and fractures of the right glenoid fossa and articular eminence were noted. The patient was treated by instructing him not to open his mouth widely and to remain on a soft diet for 4 weeks. A CT examination performed 1 year after the treatment showed complete healing of the fracture in the right articular eminence and glenoid fossa.
Collapse
Affiliation(s)
- Kazuki Miyauchi
- Division of Dentistry and Oral Surgery, Department of Sensory and Locomotor Medicine, School of Medicine, University of Fukui, Matsuoka, Japan
| | | | | | | | | | | | | |
Collapse
|
22
|
Cillo JE, Sinn DP, Ellis E. Traumatic Dislocation of the Mandibular Condyle into the Middle Cranial Fossa Treated With Immediate Reconstruction: A Case Report. J Oral Maxillofac Surg 2005; 63:859-65. [PMID: 15944989 DOI: 10.1016/j.joms.2005.02.029] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Joseph E Cillo
- Division of Oral and Maxillofacial Surgery, The University of Texas Southwestern Medical Center, Dallas 75390-9109, USA
| | | | | |
Collapse
|