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Dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma

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. T...

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Autores principales: De Mol, Antoni, Nicolielo, Laura, Ghekiere, Olivier, Jacobs, Reinhilde, Politis, Constantinus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5534009/
https://www.ncbi.nlm.nih.gov/pubmed/28775843
http://dx.doi.org/10.1093/jscr/rjx149
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author De Mol, Antoni
Nicolielo, Laura
Ghekiere, Olivier
Jacobs, Reinhilde
Politis, Constantinus
author_facet De Mol, Antoni
Nicolielo, Laura
Ghekiere, Olivier
Jacobs, Reinhilde
Politis, Constantinus
author_sort De Mol, Antoni
collection PubMed
description 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.
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spelling pubmed-55340092017-08-03 Dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma De Mol, Antoni Nicolielo, Laura Ghekiere, Olivier Jacobs, Reinhilde Politis, Constantinus J Surg Case Rep Case Report 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. Oxford University Press 2017-07-28 /pmc/articles/PMC5534009/ /pubmed/28775843 http://dx.doi.org/10.1093/jscr/rjx149 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2017. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
De Mol, Antoni
Nicolielo, Laura
Ghekiere, Olivier
Jacobs, Reinhilde
Politis, Constantinus
Dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma
title Dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma
title_full Dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma
title_fullStr Dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma
title_full_unstemmed Dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma
title_short Dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma
title_sort dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5534009/
https://www.ncbi.nlm.nih.gov/pubmed/28775843
http://dx.doi.org/10.1093/jscr/rjx149
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