Lochfrakturen der Schädelbasis durch dislozierte Mandibulaköpfchen

Holz, Franziska; Verhoff, Marcel A.; Kettner, Mattias; Ramsthaler, Frank; Ohlwärther, T. E. N.; Birngruber, Christoph G.

doi:10.1007/s00194-019-0326-2

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…However, many severely injured patients die because of fatal neurological damage, and the actual prevalence is likely to be much higher. This review included three cases in which intracranial displacement was confirmed during an autopsy after death due to intracranial injuries, such as an epidural or subdural hematoma or hemorrhage [28,99]. Additionally, in mild cases, clinical signs may be subtle and likely to be overlooked without a thorough examination.…”

Section: Diagnosis Of the Condyle And Glenoid Fossamentioning

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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Section: Diagnosis Of the Condyle And Glenoid Fossamentioning

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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A Case of Acute Epidural Hematoma Caused by Mandibular Fossa Fracture

Honta,

Takahashi,

Kikuchi

et al. 2024

Cureus

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Acute epidural hematoma is one of the most serious traumatic conditions in neurosurgery, for which emergency surgery may be indicated. Injury to the middle meningeal artery (MMA) is generally the cause of hemorrhage, often accompanied by convexity fractures resulting from head trauma. However, an epidural hematoma by a contusion of the jaw is very rare.A 27-year-old male fell after drinking alcohol and was brought to our hospital. The patient's Glasgow Coma Scale (GCS) score was 6 (E1V1M4), and the right pupil was 5 mm with no response to light. A computed tomography (CT) scan of the head showed an acute epidural hematoma in the right middle skull base to the temporal region and no fracture lines of the vault of the skull. An emergency right frontotemporal craniotomy was performed to remove the hematoma. A postoperative recheck of the preoperative images revealed a right mandibular fossa fracture. The postoperative course was uneventful, with clear consciousness and resolution of motor paralysis the day after surgery. On the 11th postoperative day, the patient could walk independently and was discharged. As there was no injury to the MMA in the convexity area, which is generally the cause of acute epidural hematoma, damage to a branch of the MMA resulting from a mandibular fossa fracture was considered a possible mechanism for developing acute epidural hematoma. A case of mandibular fossa fracture resulting in acute epidural hematoma is extremely rare, and the etiology remains unknown, so we reported here with a review of the literature.

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Lochfrakturen der Schädelbasis durch dislozierte Mandibulaköpfchen

Cited by 2 publications

References 27 publications

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

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

A Case of Acute Epidural Hematoma Caused by Mandibular Fossa Fracture

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