Pterygoid Plate Fractures

Garg, Rajnish; Alsheik, Nila; Afifi, Ahmed M.; Gentry, Lindell R.

doi:10.1097/scs.0000000000001901

Cited by 10 publications

(5 citation statements)

References 8 publications

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“…The possible causes of these unilateral fractures may be penetrating trauma or traction of the pterygoid muscle. [13,19] It is worth noting that Garg et al [13] reported PPF patterns similar to the ones we observed in our study.…”

Section: Discussionsupporting

confidence: 90%

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Pterygoid Plate Fractures Unrelated to Le Fort Fractures on CT

Güneş

Aktürk²,

Güldoğan³

2018

Ulus Travma Acil Cerrahi Derg

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Section: Discussionsupporting

confidence: 90%

“…Garg et al reported that 37.3% of the cases with PPF did not have LFF. [13] Similar findings were reported by different studies. [14,15] Our results show that PPF can be used as an indirect diagnostic evidence of LFF, but not in all patients, since other types of fractures can involve PP such as temporal and sphenotemporal buttress.…”

Section: Discussionsupporting

confidence: 86%

Pterygoid Plate Fractures Unrelated to Le Fort Fractures on CT

Güneş

Aktürk²,

Güldoğan³

2018

Ulus Travma Acil Cerrahi Derg

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“…Sphenotemporal buttress fractures, temporal bone fractures, zygomatico-maxillary complex fractures and displaced mandible fractures were found in these patients [6]. …”

Section: Discussionmentioning

confidence: 99%

Isolated Fracture of Lateral Pterygoid Plate by Penetrating Foreign Body – A Rarity Indeed

et al. 2018

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SummaryBackgroundFractures of mid-face were first described by Le Fort and are classified into three categories – Le Fort I, Le Fort II and Le Fort III. The pterygoid processes of the sphenoid bone are fractured in all the three categories of Le Fort fractures as the sphenoid bone connects the cranium vault to the facial bones. Fractures of the pterygoid processes without associated Le Fort fractures are rare and are usually associated with fractures of the mandible, temporal bone or other facial bones. An isolated fracture of pterygoid plates without associated Le Fort fractures or fractures of other mid-face bones are exceedingly rare.Case ReportWe present a case of an isolated fracture of the right lateral pterygoid plate by a penetrating foreign body (wooden twig) in an adult male who presented with discharging sinus in the oropharynx. The presence of the foreign body was confirmed on computed tomography and was removed under general anesthesia via submandibular incision. The patient had an uneventful postoperative hospital stay and was asymptomatic on a follow-up five months later.ConclusionsThis article emphasizes the fact that pterygoid plates may be fractured without an associated Le Fort fracture or a fracture of the mandible. This is the first case of an isolated pterygoid plate fracture in the literature.

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“…Common causes included sphenotemporal buttress fractures in 26 patients (33.3%), temporal bone fractures in 18 patients (23.1%), zygomaticomaxillary complex fractures in 17 patients (21.8%), and displaced mandible fractures in 14 patients (17.9%). These findings indicate that approximately one third of pterygoid plate fractures do not result from Le Fort pattern injuries and that the craniofacial surgeon should have a broad differential for causes of pterygoid plate fractures when reviewing trauma imaging [ 4 ].…”

Section: Structures Involvedmentioning

confidence: 99%

Management of Le Fort I fracture

Kim

Lee

2017

Arch Craniofac Surg

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Among the classification of maxillary fracture, the Le Fort classification is the best-known categorization. Le Fort (1901) completed experiments that determined the maxilla areas of structural weakness which he designated as the “lines of weakness”. According to these results, there are three basic fracture line patterns (transverse, pyramidal and craniofacial disjunction). A transverse fracture is a Le Fort I fracture that is above the level of the apices of the maxillary teeth section, including the entire alveolar process of the maxilla, vault of the palate and inferior ends of the pterygoid processes in a single block from the upper craniofacial skeleton. Le Fort fractures result in both a cosmetic and a functional deficit if treated inappropriately. In this article, authors review the management of a Le Fort I fracture with a case-based discussion.

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Pterygoid Plate Fractures

Cited by 10 publications

References 8 publications

Pterygoid Plate Fractures Unrelated to Le Fort Fractures on CT

Pterygoid Plate Fractures Unrelated to Le Fort Fractures on CT

Isolated Fracture of Lateral Pterygoid Plate by Penetrating Foreign Body – A Rarity Indeed

Management of Le Fort I fracture

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