Kumar L K Surej, Manuel Suvy, Kurien Nikhil M, Khalam Sherin A, P Menon Varun
PMS College of Dental Science & Research, Trivandrum, India.
PMS College of Dental Science & Research, Trivandrum, India.
Int J Surg Case Rep. 2015;12:11-4. doi: 10.1016/j.ijscr.2015.05.013. Epub 2015 May 7.
In a condylar fracture whether to intervene or to go for conservative management still remains a dilemma. Studies and hypothesis suggests that it's medially dislocated condylar fracture segment that is more likely to ankylose, moreover no consensus have been put forth as to whether to remove the medially displaced fracture segment.
The current article describes a case of unilateral temporomandibular joint (TMJ) ankylosis, which resulted as a sequlae from conservative management of a bilateral condylar fracture of which, the ankylosed side had a sagittal fracture of condyle. In our case the post trauma CT shows the lateral segment abutting with the arch and that the area has become ankylotic in a span of 2 years. Here we report a case of posttraumatic unilateral TMJ ankylosis resulting from closed reduction of a bilateral condylar fracture with interesting radiological findings.
We have tried to discuss a rather interesting radiological picture of posttraumatic TMJ ankylosis which resulted as a sequlae from conservative management of a bilateral condylar fracture.
The dilemma for a clinician as to whether to intervene in a condylar fracture or to go for conservative management still remains at large. As in this case the medial fracture segment was intact and the lateral segment was resulting in ankylosis.
在髁突骨折中，是进行干预还是采取保守治疗仍然是一个难题。研究和假说表明，内侧移位的髁突骨折段更有可能发生关节强直，此外，对于是否切除内侧移位的骨折段尚未达成共识。
本文描述了一例单侧颞下颌关节强直病例，该病例是双侧髁突骨折保守治疗的后遗症，强直侧髁突存在矢状骨折。在我们的病例中，创伤后CT显示外侧骨折段与颧弓相邻，且该区域在2年内已发生关节强直。在此，我们报告一例双侧髁突骨折闭合复位后导致的创伤后单侧颞下颌关节强直病例，并伴有有趣的影像学表现。
我们试图讨论创伤后颞下颌关节强直一种相当有趣的影像学表现，该表现是双侧髁突骨折保守治疗的后遗症。
临床医生在髁突骨折时是进行干预还是采取保守治疗的难题仍然普遍存在。就像本病例中，内侧骨折段完整，而外侧骨折段导致了关节强直。
