下颌髁突脱位至中颅窝：一例报告
Dislocation of the mandibular condyle into the middle cranial fossa: a case report.
作者信息
Vaezi Touraj, Rajaei Seyyed Ali, Hosseini Abrishami Majid, Erfanian Taghvaei Mahdi
机构信息
Department of Oral and Maxillofacial Surgery, School of Dentistry, Mashhad University of Medical Science, Vakil Abad Ave., Mashhad, Iran.
出版信息
Oral Maxillofac Surg. 2014 Mar;18(1):69-73. doi: 10.1007/s10006-013-0395-4. Epub 2013 Feb 2.
INTRODUCTION
A 32-year-old woman was admitted to our hospital following a motor vehicle accident. Her chief complaint was severe limited mouth opening and unilateral open bite on the left.
METHODS
Axial and coronal CT scans showed penetration of right condyle into the middle cranium through the fractured roof of glenoid fossa. A craniotomy exactly above the glenoid fossa was done.
RESULTS
The condyle was reduced and the glenoid fossa was reconstructed.
CONCLUSION
On postoperative follow-up at 6 months, the patient had no complaint, but there was a small deviation to the affected side on opening.
引言
一名32岁女性在机动车事故后被送入我院。她的主要诉求是严重的张口受限和左侧单侧开颌。
方法
轴位和冠状位CT扫描显示右髁突通过关节盂窝骨折的顶部穿入中颅窝。在关节盂窝正上方进行了开颅手术。
结果
髁突复位，关节盂窝重建。
结论
术后6个月随访时，患者无不适主诉，但张口时向患侧有轻微偏斜。
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