Features and management of intracranial mandibular condyle dislocation after trauma

Cranio. 2014 Jan;32(1):63-7. doi: 10.1179/0886963413Z.0000000007.

Abstract

Background: Dislocation of the mandibular condyle into the middle cranial fossa is rare in clinics. It often occurs when the mouth is open wide during the injury. It causes restriction of mandibular motion, lower facial asymmetry, pain in the temporomandibular joint (TMJ), etc.

Objective: To introduce the features of intracranial mandibular condyle dislocation and discuss the management to this kind of trauma.

Major findings: In this paper, the authors present two cases, describing the diagnosis, surgical management, and 1-year follow-up evaluation. The results of the authors' treatment to intracranial mandibular condyle dislocation were satisfactory and stable, and no surgical complications were detected.

Conclusion: Advanced imaging studies are mandatory for exact diagnosis and successful treatment of intracranial mandibular condyle dislocation, and individualized management is recommended.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cranial Fossa, Middle / injuries*
  • Cranial Fossa, Middle / surgery
  • Female
  • Humans
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / etiology
  • Joint Dislocations / surgery*
  • Male
  • Mandibular Condyle / diagnostic imaging
  • Mandibular Condyle / injuries*
  • Mandibular Condyle / surgery
  • Mandibular Injuries / diagnostic imaging
  • Mandibular Injuries / surgery
  • Temporomandibular Joint / diagnostic imaging
  • Temporomandibular Joint / injuries*
  • Temporomandibular Joint / surgery*
  • Temporomandibular Joint Disc / diagnostic imaging
  • Temporomandibular Joint Disc / injuries
  • Temporomandibular Joint Disc / surgery
  • Tomography, X-Ray Computed
  • Young Adult