Temporomandibular joint ankylosis after condylar dislocation into the middle cranial fossa: A case report

Zamorano, G.M.; Núñez, Lorena; Alvarez, Llosa; Otayza, Felipe; Fernández, Manuel; Donoso-Hofer, Francisca

doi:10.1016/j.revsto.2016.06.001

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…If not treated, the joint gets ankylosed. 17,25,26 It is not possible to reduce this dislocation under the action of muscle relaxants or neuro muscular blocking agents as the obstruction to mouth opening is a mechanical problem. 1 Historically treatment began with exposure of the dislocated condyle and resection of the fragment within the middle cranial fossa 11,16,23,27,28 or a sub condylar osteotomy leaving behind the dislocated head of the condyle thereby creating a barrier between the middle cranial fossa and glenoid cavity.…”

Section: Discussionmentioning

confidence: 99%

Intra Cranial Dislocation of Mandibular Condyle—10 Year Follow up of a Case and Review of Literature

Ramani

Balaraman

Bharathi

et al. 2021

Craniomaxillofacial Trauma & Reconstruction Open

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Dislocation of the mandibular condyle into the middle cranial fossa is a rare event with only 59 cases having been reported in the English literature. The common etiology is road traffic accident. Epidemiology wise this injury is found commonly in children and young adults. This has been attributed to the undeveloped condyle being small and rounded. In this report we present a case of central dislocation of the mandibular condyle into the middle cranial fossa in a 20 year old female patient sustained in a road traffic accident. Computed tomography helped in early diagnosis and treatment of the patient. We also stress upon the need for long term follow up of the patient to prevent secondary complications of ankylosis.

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Section: Discussionmentioning

confidence: 99%

Intra Cranial Dislocation of Mandibular Condyle—10 Year Follow up of a Case and Review of Literature

Ramani

Balaraman

Bharathi

et al. 2021

Craniomaxillofacial Trauma & Reconstruction Open

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“…In cases with a late diagnosis, the dislocated condyle and fragments of the fossa can be adhered, and forceful reduction can result in an intracranial injury. Therefore, a condylectomy [9,10,17,26,68,89], condylotomy [4,7,44,49,52,63,69], or gap arthroplasty [5,33,60,95] is required.…”

Section: Etiology and Treatment Of Intracranial Dislocation Of The Co...mentioning

confidence: 99%

“…After open reduction, the glenoid fossa should be reconstructed to ensure separation from the cranial cavity and re-establish a functional articulation using autogenous or alloplastic material, including bone [17,35,38,42,45,49,51,[55][56][57][58][59]66,68,80,84,97,98,102], cartilage [52,58,60,69], temporalis fascia [29,37,64,71,80,95,101,109], temporalis muscle [62,63,73,96,103,106], titanium plates [40,47,81,88,89], silicon [22,37], Silastic [16], Gelfoam [7], or Duragen [86] (Table S2). Reconstruction of the condyle is required t...…”

Section: Etiology and Treatment Of Intracranial Dislocation Of The Co...mentioning

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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Total Joint Replacement After Condylar Destruction Secondary to Long-Standing Dislocation of the Temporomandibular Joint

Sarlabous

Psutka

2020

Journal of Craniofacial Surgery

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Background: To describe the treatment of 2 long-standing chronic dislocation of the temporomandibular joints (TMJs) and 1 chronic recurrent dislocation. Methods: This report describes the treatment of 3 patients; 2 with a long-standing chronic dislocation of the TMJ and 1 with a chronic recurrent dislocation. Duration of dislocation and anatomical considerations make the treatment challenging and controversial. The patients presented in this report all developed destruction of their condyles. They were successfully treated with total joint replacement with alloplastic devices. Results: All the 3 patients underwent successful surgery and recovery. Mandibular function and pain level were significantly improved. Conclusion: Long-standing dislocation of the TMJ is rare. This condition can be successfully treated by resection of the damaged condyles and reconstruction with alloplastic total TMJ replacements.

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Temporomandibular joint ankylosis after condylar dislocation into the middle cranial fossa: A case report

Cited by 3 publications

References 11 publications

Intra Cranial Dislocation of Mandibular Condyle—10 Year Follow up of a Case and Review of Literature

Intra Cranial Dislocation of Mandibular Condyle—10 Year Follow up of a Case and Review of Literature

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

Total Joint Replacement After Condylar Destruction Secondary to Long-Standing Dislocation of the Temporomandibular Joint

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