medigraphic.com
ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2025, Number 1

<< Back Next >>

Rev Mex Cir Bucal Maxilofac 2025; 21 (1)

Mandibular condyle fracture displaced to the middle cranial fossa: case report

Gallardo-Caudillo J, Mendoza-Álvarez S, Vivero-Alcívar FA

Language: Spanish
References: 14
Page: 32-37
PDF size: 473.41 Kb.


ABSTRACT

Dislocation of the mandibular condyle into the middle cranial fossa is a rare injury caused by severe facial trauma. This condition, characterized by displacement of the mandibular condyle into the cranial cavity, can be confused with subcondylar fractures due to the similarity of their symptoms. This diagnostic underestimation can have serious consequences, as this injury is associated with neurological complications such as intracranial hemorrhages and cerebrospinal fluid leaks. Therefore, the management of these cases requires a multidisciplinary approach and early surgical intervention. In this study, we present the case of a woman who suffered severe facial trauma and was diagnosed with a dislocation of the mandibular condyle into the middle cranial fossa. The patient was successfully treated by open reduction and internal fixation of the subcondylar fracture, as well as reconstruction of the glenoid fossa through a subtemporal approach.


REFERENCES

  1. Taglialatela Scafati C, Aliberti F, Scotto di Clemente S, Taglialatela Scafati S, Facciuto E, Cinalli G. Dislocation of a fractured mandibular condyle into the middle cranial fossa: a case treated by an extracranial approach. Childs Nerv Syst. 2008; 24 (9): 1067-1070. doi: 10.1007/s00381-008-0659-8.

  2. Barron RP, Kainulainen VT, Gusenbauer AW, Hollenberg R, Sándor GK. Management of traumatic dislocation of the mandibular condyle into the middle cranial fossa. J Can Dent Assoc. 2002; 68 (11): 676-680.

  3. Ohura N, Ichioka S, Sudo T, Nakagawa M, Kumaido K, Nakatsuka T. Dislocation of the bilateral mandibular condyle into the middle cranial fossa: review of the literature and clinical experience. J Oral Maxillofac Surg. 2006; 64 (7): 1165-1172. doi: 10.1016/j.joms.2006.03.043.

  4. Esquenazi Y, Zeineddine HA, Reimer E, Stackowicz D, Demian N. Intracranial approach for retrieval of the condylar head after avulsion into the middle cranial fossa. World Neurosurg. 2019; 130: 259-263. doi: 10.1016/j.wneu.2019.07.008.

  5. Díez-Suárez L, Paredes-Farrera GF. Dislocation of the mandibular condyle into the middle cranial fossa. A case of temporomandibular joint arthroplasty with resorbable fixation system and temporalis myofascial flap: systematic review and meta-analysis. Br J Oral Maxillofac Surg. 2021; 59 (4): 389-397. doi: 10.1016/j.bjoms.2020.08.039.

  6. Vaezi T, Rajaei SA, Hosseini Abrishami M, Erfanian Taghvaei M. Dislocation of the mandibular condyle into the middle cranial fossa: a case report. Oral Maxillofac Surg. 2014; 18 (1): 69-73. doi: 10.1007/s10006-013-0395-4.

  7. Liau I, Sambrook P, Cheng A. Endoscopically assisted middle cranial fossa reconstruction following traumatic intracranial intrusion of the mandibular condyle. J Craniofac Surg. 2019; 30 (2): 563-565. doi: 10.1097/SCS.0000000000005167.

  8. Monteiro JLGC, de Arruda JAA, de Melo ARS, Barbosa RJV, Carneiro SCAS, Vasconcelos BCDE. Updated review of traumatic dislocation of the mandibular condyle into the middle cranial fossa. J Oral Maxillofac Surg. 2019; 77 (1): 132.e1-132.e16. doi: 10.1016/j.joms.2018.09.011.

  9. Friedman JA, Ebersold MJ, Quast LM. Persistent posttraumatic cerebrospinal fluid leakage. Neurosurg Focus. 2000; 9 (1): e1. doi: 10.3171/foc.2000.9.1.1.

  10. Monteith TS, Kralik SF, Dillon WP, Hawkins RA, Goadsby PJ. The utility of radioisotope cisternography in low CSF/volume syndromes compared to myelography. Cephalalgia. 2016; 36 (13): 1291-1295. doi: 10.1177/0333102416628467.

  11. Pattichis AA, Slee M. CSF hypotension: A review of its manifestations, investigation and management. J Clin Neurosci. 2016; 34: 39-43. doi: 10.1016/j.jocn.2016.07.002.

  12. He Y, Zhang Y, Li ZL, An JG, Yi ZQ, Bao SD. Treatment of traumatic dislocation of the mandibular condyle into the cranial fossa: development of a probable treatment algorithm. Int J Oral Maxillofac Surg. 2015; 44 (7): 864-870. doi: 10.1016/j.ijom.2014.12.016.

  13. Struewer J, Kiriazidis I, Figiel J, Dukatz T, Frangen T, Ziring E. Dislocation of the mandibular condyle into the middle cranial fossa causing an epidural haematoma. J Craniomaxillofac Surg. 2012; 40 (5): 396-399. doi: 10.1016/j.jcms.2011.07.006.

  14. Chen I, Chang CM, Yuan-Chien Chen M, Chen KJ. Traumatic dislocation of the mandibular condyle into the middle cranial fossa treated by an intraoral approach. J Formos Med Assoc. 2019; 118 (7): 1161-1165. doi: 10.1016/j.jfma.2018.12.025.




2020     |     www.medigraphic.com