Keywords
Oral and Maxillofacial Surgery
Trauma
How to Cite
Abstract
Purpose: To investigate the clinical, immaginological, complications and its relations of each one of the treatment approaches for the traumatic dislocation of the mandibular condyle to the medial cranial fossa.
Methods: An electronic literature search was undertaken in June/2019. Eligibility criteria included publications having enough clinical, radiological, treatment protocols and post-operative outcomes information.
Results: 46 publications ( 50 patients) were included. Most of the patients were women ( 70%), the most common age range in the pediatric population from 0 to 15 years old ( 34%). The mean age is 25,66 years old ( +- 15,19). The most common causes are automotive accidents ( 60%), Falls ( 8%), Assaults ( 8%), followed by one case of industrial accident. Otorrhagia was present in 10% of the patients, loss of conciseness in 10% of the patients, followed by 6% of the patients presenting intracranial hematoma. Open treatment was the preferred with 44%, followed by the closed treatment ( 26%), condylectomy( 16%) and conservative treatment (14%). None complications were observed in 60% of the patients, however complications related to the TMJ were observed in 38% of the cases, followed by 2% of complications related to the medial cranial fossa. Comparative statistical analyzes did not show differences between the treatment modalities as the complications, except when compared with closed treatment in relation with complications related to the medial cranial fossa ( p = 0,035).
Conclusions: The traumatic dislocation of the mandibular condyle to the medial cranial fossa is a rare complication related to facial trauma, with only fifty cases described in the literature. The treatment modalities did have not influence into the development of complications, excepts when the chosen treatment is the closed one, when the odds for complications related to the medial cranial fossa are slightly higher.
References
He Y, Zhang Y, Li Z-L ., An J-G ., Yi Z-Q ., Bao S-D. 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):864–70. https://doi.org/10.1016/j.ijom.2014.12.016
Rashid A, Eyeson J, Haider D, van Gijn D, Fan K. Incidence and patterns of mandibular fractures during a 5-year period in a London teaching hospital. Br J Oral Maxillofac Surg. 2013;51(8):794–8. https://doi.org/10.1016/j.bjoms.2013.04.007
Zix J, Schaller B, Lieger O, Saulacic N, Thoren H, Iizuka T. Incidence, aetiology and pattern of mandibular fractures in central Switzerland. Swiss Med Wkly. 2011;141. https://doi.org/10.4414/smw.2011.13207
Bormann K-H, Wild S, Gellrich N-C, Kokemüller H, Stühmer C, Schmelzeisen R, et al. Five-Year Retrospective Study of Mandibular Fractures in Freiburg, Germany: Incidence, Etiology, Treatment, and Complications. J Oral Maxillofac Surg. 2009;67(6):1251–5. https://doi.org/10.1016/j.joms.2008.09.022
Tutela JP, Verbist DE, Kelishadi S, Little JA. Traumatic Dislocation of the Mandibular Condyle Into the Middle Cranial Fossa in an Elderly Patient. J Craniofac Surg. 2013;24(5):1703–5. https://doi.org/10.1097/scs.0b013e31828a76b1
Higgins J, Green S. Cochrane Handbook for Systematic Reviews of Interventions. 2011.
Heidsieck C. Beitrag zur sogenanntenzentralen Kiefergelenks- luxation, in: Schuchardt K (ed): Fortschritte der Kiefer- und Gesichts-Chirurgie. 1960;105–8.
Doane HF. Dislocation of the Right Mandibular Condyle into the Middle Cranial Fossa. J Oral Surg. 1963;21:511–4. Available from: https://pubmed.ncbi.nlm.nih.gov/14075486/
Steinhauser E. Zur zentralen Kiefergelenskslyxation in die mittlere Schadelgrube anhand eines Falles. 1964;41:26.
Stoltmann H. Fracture disclocation of the temperomandibular joint. Journal Neurosurgery. 1965;22:100.
Cernea P, Crrpy C, Mazza R. Fracture Enfoncement de la cavit glenoide du temporal revele par une ankylose tem-poro-maxillaire. 1965;66:65.
Dechaume M, Grellet M. Un cas d’ankylose par enfoncement de la cavité glenoide. 1965;66(58).
Peltier J, Mathews T. Mandibular Condyle in Middle Cranial Fossa: Report of a Case. 1965;23: 74-77
Whitacre WB. Dislocation of the mandibular condyle into the middle cranial fossa: review of the literature and report of a case. Plast Reconstr Surg. 1966;38(1):23–6. https://doi.org/10.1097/00006534-196607000-00004
Brons DR. Fractuur van fossa mandibularis,met dislokatie van processus articularis mandibulae naar middelste schedel- groeve. Ned Tijdschr Geneeskd. 1967; 111:490
Rowe RO, Killey HC. Fractures of the Facial Skeleton. Williams and Wilkins. 1968
Pirok DJ, Merrill RG. Dislocation of the mandibular condyle into the middle cranial fossa. Oral Surgery. 1970;13-19
Lund K. Central luksation i kaebeleddet. Tandlaegebladet. 1971;75:803
Seymour RL, Irby WB. Dislocation of the condyle into the middle cranial fossa: review of the literature and report of a case. Plastic and Reconstructive Surgery. 1966;38:23
Pons J, Pasturel A, Desgeorges M, De Greslan M. Pdnrtrationtraumatique intra-cranienne d'un condyle mandibulaire. Rev Stomatol Chir Maxillofac. 1976;77:869
Zecha JJ. Mandibular condyle dislocation into the middle cranial fossa. Int J Oral Surg. 1977;6(3):141–6. https://doi.org/10.1016/s0300-9785(77)80046-x
Kallal RH, Gans BJ, Lagrotteria LB. Cranial dislocation of mandibular condyle. Oral Surg Oral Med Oral Pathol. 1977;43(1):2–10. https://doi.org/10.1016/0030-4220(77)90342-5
Pieritz U, Schmidseder R. Central dislocation of the jaw-joint into the middle cranial fossa. J Maxillofac Surg. 1981;9:61–3. https://doi.org/10.1016/s0301-0503(81)80014-8
Ihalainen U, Tasanen A. Central luxation or dislocation of the mandibular condyle into the middle cranial fossa. Int J Oral Surg. 1983;12(1):39–45. https://doi.org/10.1016/s0300-9785(83)80078-7
Pepper L, Zide MF. Mandibular condyle fracture and dislocation into the middle cranial fossa. Int J Oral Surg. 1985;14(3):278–83. https://doi.org/10.1016/s0300-9785(85)80040-5
Copenhaver RH, Dennis MJ, Kloppedal E, Edwards DB, Scheffer RB. Fracture of the glenoid fossa and dislocation of the mandibular condyle into the middle cranial fossa. J Oral Maxillofac Surg. 1985;43(12):974–7. https://doi.org/10.1016/0278-2391(85)90015-1
Musgrove B. Dislocation of the mandibular condyle into the middle cranial fossa. Br J Oral Maxillofac Surg. 1986;24:22.
Paulette SW, Trop R, Webb MD, Nazif MM. Intrusion of the mandibular condyle into the middle cranial fossa: report of a case in an 11-year-old girl. Pediatr Dent. 1989 [Accessed 2022 Apr 14];11(1):68–71. Available from: https://pubmed.ncbi.nlm.nih.gov/2626344/
Engevall S, Fischer K. Dislocation of the mandibular condyle into the middle cranial fossa: Review of the literature and report of a case. J Oral Maxillofac Surg. 1992;50(5):524–7. https://doi.org/10.1016/s0278-2391(10)80330-1
Chuong R. Management of mandibular condyle penetration into the middle cranial fossa: Case report. J Oral Maxillofac Surg. 1994;52(8):880–4. https://doi.org/10.1016/0278-2391(94)90243-7
Dahlberg G, Magnusson M, Johansen CC, Rehncrona S. Fracture of the mandibular condyle causing meningeal bleeding. J Oral Maxillofac Surg. 1995;53(4):461–5. https://doi.org/10.1016/0278-2391(95)90725-4
Tornes K, Lind O. Cranial dislocation of the mandibular condyle. J Craniomaxillofac Surg. 1995;23(5):302–4. https://doi.org/10.1016/s1010-5182(05)80160-x
Melugin MB, Indresano AThomas, Clemens SP. Glenoid fossa fracture and condylar penetration into the middle cranial fossa: Report of a case and review of the literature. J Oral Maxillofac Surg. 1997;55(11):1342–7. https://doi.org/10.1016/s0278-2391(97)90199-3
Long X, Hu C, Zhao J, Li J, Zhang G. Superior dislocation of mandibular condyle into the middle cranial fossa. Int J Oral Maxillofac Surg. 1997;26(1):29–30. https://doi.org/10.1016/s0901-5027(97)80842-9
Barron RP, Kainulainen VT, Gusenbauer AW, Hollenberg R, Sàndor GKB. Fracture of glenoid fossa and traumatic dislocation of mandibular condyle into middle cranial fossa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(6):640–2. https://doi.org/10.1067/moe.2002.122824
van der Linden WJ. Dislocation of the mandibular condyle into the middle cranial fossa: report of a case with 5 year CT follow-up. International J Oral Maxillofac Surg. 2003;32(2):215–8. https://doi.org/10.1054/ijom.2002.0319
Harstall R, Gratz KW, Zwahlen RA. Mandibular Condyle Dislocation Into the Middle Cranial Fossa: A Case Report and Review of Literature. J Trauma. 2005;59(6):1495–503. https://doi.org/10.1097/01.ta.0000199241.49446.80
Clauser L, Tieghi R, Polito J, Galiè M. Dislocation of the Mandibular Condyle into the Middle Cranial Fossa. J Craniofac Surg. 2006;17(3):590–4. https://doi.org/10.1097/00001665-200605000-00036
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):1165–72. https://doi.org/10.1016/j.joms.2006.03.043
Magge SN, Chen HI, Heuer GG, Carrasco LR, Storm PB, M.D. Dislocation of the mandible into the middle cranial fossa. J Neurosurg Pediatr. 2007;107(1):75–8. https://doi.org/10.3171/ped-07/07/075
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):1067–70. https://doi.org/10.1007/s00381-008-0659-8
Man C, Zhu S-S ., Chen S, Jiang L, Hu J. Dislocation of the intact mandibular condyle into the middle cranial fossa: a case report. Int J Oral Maxillofac Surg. 2011;40(1):118–20. https://doi.org/10.1016/j.ijom.2010.02.028
Vasconcelos BC, Rocha NS, Cypriano RV. Posterior dislocation in intact mandibular condyle: an unusual case. Int J Oral Maxillofac Surg. 2010;39(1):89–91. https://doi.org/10.1016/j.ijom.2009.07.061
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):396–9. https://doi.org/10.1016/j.jcms.2011.07.006
Tutela JP, Verbist DE, Kelishadi S, Little JA. Traumatic Dislocation of the Mandibular Condyle Into the Middle Cranial Fossa in an Elderly Patient. J Craniofac Surg. 2013;24(5):1703–5. https://doi.org/10.1097/scs.0b013e31828a76b1
Zhang S, Wu J, Xu B, Shi J, Shen SGF, Gui H. Features and management of intracranial mandibular condyle dislocation after trauma. J Craniomandibular Sleep Practice. 2014;32(1):63–6. https://doi.org/10.1179/0886963413z.0000000007
Oberman B, Setabutr D, Goldenberg D. Traumatic dislocation of intact mandibular condyle into middle cranial fossa. Am J Otolaryngol. 2014;35(2):251–3. https://doi.org/10.1016/j.amjoto.2013.11.004
De Mol A, Nicolielo L, Ghekiere O, Jacobs R, Politis C. Dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma. J Surg Case Rep. 2017;2017(7). https://doi.org/10.1093/jscr/rjx149
Chen I, Chang C-M, Yuan-Chien Chen M, Chen K-J. Traumatic dislocation of the mandibular condyle into the middle cranial fossa treated by an intraoral approachJ Formosa Med Ass. 2019;118(7):1161–5. https://doi.org/10.1016/j.jfma.2018.12.025
Dingman RO, Grabb WC. Mandibular Laterognathism. Plast Reconstr Surg. 1963;31(6):563–75. https://doi.org/10.1097/00006534-196306000-00008
Da Fonseca GD. Experimental study on fractures of the mandibular condylar process (mandibular condylar process fractures). Int J Oral Maxillofac Surg. 1974;3(3):89–101. https://doi.org/10.1016/s0300-9785(74)80040-2
Zhang S, Wu J, Xu B, Shi J, Shen SGF, Gui H. Features and management of intracranial mandibular condyle dislocation after trauma. J Craniomandibular Sleep Practice. 2014;32(1):63–6. https://doi.org/10.1179/0886963413z.0000000007
Tsunoda A, Sumi T, Shirakura S, Kishimoto S, Akita K. Bony eminence on the middle cranial fossa corresponding to the temporomandibular joint. Clin Anat. 2007;20(5):512–5. https://doi.org/10.1002/ca.20447
Rosa VLM, Guimarães AS, Marie SKN. Intrusion of the mandibular condyle into the middle cranial fossa: Case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(1):e4–7. https://doi.org/10.1016/j.tripleo.2006.02.004
Kroetsch LJ, Brook AL, Kader A, Eisig SB. Traumatic dislocation of the mandibular condyle into the middle cranial fossa: Report of a case, review of the literature, and a proposal management protocol. J Oral Maxillofac Surg. 2001;59(1):88–94. https://doi.org/10.1053/joms.2001.19301
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