Cranial dislocation of mandibular condyle

Intracranial Dislocation of the Mandibular Condyle: A Case Report and Literature Review

“…However, the literature consistently agrees that a closed reduction under anesthesia should be considered prior to an open reduction, especially among young patients. Closed reductions are thought to see the most success within 2-4 weeks of injury, prior to condylar ossification to the fossa, and, if successful, can minimize growth disturbances (3,18,23,24,38). Despite being a less invasive maneuver, closed reductions still have the potential to cause secondary middle meningeal artery or dural injury (24, 40).…”

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).…”

“…The increase in this clinical condition is due to road accidents, especially with cyclists (Seymour and Irby, 1976;Melugin et al, 1997). Severe fracture and penetration of condyle into the MCF may cause sudden death and is probably not so rare as in the past (Kallal et al, 1977;Pepper and Zide, 1985;Engevall and Fischer, 1992). The presence of this eminence may predispose to brain damage in cases of facial trauma (Jones et al, 2000).…”

Mandibular Condyle Dislocation Into the Middle Cranial Fossa: A Case Report and Review of Literature

“…29 In some reported cases, cerebral concussion with total amnesia, 12,19,21,22,30 as well as significant brain injuries, 9,21 have been described. If the temporal lobe is affected by a compound, depressed skull fracture epilepsy may occur as a sequela in Ͼ50% of cases.…”

“…In many cases, more severe mandibular or craniofacial fractures are accompanying 6,12,[15][16][17]20,26,29,31 these injuries, which necessitate more immediate treatment. This may lead to a delayed diagnosis of the central condylar dislocation.…”