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CC BY 4.0 · Indian Journal of Neurotrauma
DOI: 10.1055/s-0044-1789617
Case Report

Traumatic Intracranial Intrusion of the Mandibular Condyle in the Middle Fossa: A Rare Case Report

Daniela Meneses-Santos
1   Department of Oral and Maxillofacial Surgery and Traumatology, Clinical Hospital of Federal University of Uberlândia, Uberlândia-MG, Brazil
,
Izabella Sol
1   Department of Oral and Maxillofacial Surgery and Traumatology, Clinical Hospital of Federal University of Uberlândia, Uberlândia-MG, Brazil
,
Cristóvão Marcondes de Castro Rodrigues
1   Department of Oral and Maxillofacial Surgery and Traumatology, Clinical Hospital of Federal University of Uberlândia, Uberlândia-MG, Brazil
,
Rodolfo Evangelista Pinto de Oliveira
2   Department of Neurosurgery, Clinical Hospital of Federal University of Uberlândia, Uberlândia, MG, Brazil
,
Cláudia Jordão Silva
1   Department of Oral and Maxillofacial Surgery and Traumatology, Clinical Hospital of Federal University of Uberlândia, Uberlândia-MG, Brazil
,
Marcelo Caetano Parreira da Silva
1   Department of Oral and Maxillofacial Surgery and Traumatology, Clinical Hospital of Federal University of Uberlândia, Uberlândia-MG, Brazil
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Abstract

The displacement of the condyle into the middle cranial fossa after a high kinetic trauma represents a rare and low prevalence situation in the clinical routine of the maxillofacial surgeon. After a motorcycle accident, a 19-year-old male patient evolves with displacement of the left mandibular condyle to the middle cranial fossa, requiring surgical management in association with the neurosurgical team for repositioning and reconstruction of the glenoid fossa. After craniotomy, the condyle was visualized in the middle fossa. After bone disimpaction with a driller, the condyle was repositioned and the glenoid fossa was reconstructed with a titanium mesh. After 12 months of follow-up, no neurological or functional sequela was observed. The displacement of the mandibular condyle to the cranial fossa is rarely reported in the literature. It requires a multidisciplinary team for its management. Long-term follow-up is also necessary, especially in young patients.

Keywords

condylar dislocation - middle cranial fossa - glenoid fossa reconstruction - temporomandibular joint - brain injuries

Authors' Contributions

D.M-S. contributed to the conceptualization, data curation, investigation, and writing of the original draft. I.S. was involved in the conceptualization as well as the writing, reviewing, and editing of the manuscript. C.M.d.C.R. contributed to the conceptualization and writing of the original draft, while R.E.P.d.O. played a key role in the methodology, supervision, and writing, reviewing, and editing of the manuscript. C.J.S. also contributed to the methodology and supervision, along with writing, reviewing, and editing the manuscript. M.C.P.d.S. contributed to the conceptualization, methodology, project administration, and supervision, and took part in writing, reviewing, and editing the manuscript.


Ethical Approval

The work was not submitted to the ethics and research committee for being a clinical case report. This article does not contain studies with human participants performed by any of the authors and was conducted according to the code of ethics.


Patients' Consent

Written informed consent was obtained from the patient for publication of this case report and the accompanying images. A copy of the written consent is available for review upon request.




Publication History

Article published online:
29 August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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