Superolateral dislocation of the intact mandibular condyle associated with panfacial fracture: a case report and literature review.

Autor: Amaral MB; Oral and Maxillofacial Surgery Service, Hospital João XXIII/FHEMIG, Minas Gerais, Brasil., Bueno SC, Silva AA, Mesquita RA
Jazyk: angličtina
Zdroj: Dental traumatology : official publication of International Association for Dental Traumatology [Dent Traumatol] 2011 Jun; Vol. 27 (3), pp. 235-40. Date of Electronic Publication: 2011 Feb 23.
DOI: 10.1111/j.1600-9657.2011.00980.x
Abstrakt: Superolateral dislocation of the intact mandibular condyle (SDIMC) is rare. This case report focuses on a 15-year-old teenager who was involved in a motor vehicle accident as well a literature review regarding the SDIMC. Clinical examination demonstrated a diffuse edema in the midfacial area and a left lateral deflection of the mandible, including an open bite and a crepitation in the symphyseal region. Three-dimensional computed tomography scans were taken, which presented a superolateral dislocation of the left mandibular condyle as well as panfacial fracture. The patient was set in intermaxillary fixation for 2 weeks and underwent subsequent active jaw physiotherapy, the evaluation of which presented satisfactory results. This case study also presents a literature review, which demonstrated 21 well-documented cases of SDIMC. The patients' mean age was of 29 years. The male gender proved to be more prevalent, with road traffic collisions representing the most common form of accident. Type II, with unilateral dislocation, proved to be the most common. The mean reduction time was 7 days. The open methods were the most commonly used reduction methods. Mandible fracture was associated with dislocation in 82% of the cases, with other facial fractures appearing in only 23% of the cases. Patient follow up presented satisfactory results in 59% of the cases.
(© 2011 John Wiley & Sons A/S.)
Databáze: MEDLINE
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