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下颌角骨折后下颌第三磨牙移位至咽旁间隙:一例报告

Lower third molar displaced to lateral pharyngeal space after mandibular angle fracture: a case report.

作者信息

Dos Santos Pereira Rodrigo, da Silva Jonathan Ribeiro, Bonardi João Paulo, Hochuli-Vieira Eduardo

机构信息

Department of Surgery and Clinic Integrated, Araçatuba Dental School, UNESP, José Bonifácio Street, number 1193, Araçatuba, São Paulo, CEP 16015-050, Brazil.

出版信息

Oral Maxillofac Surg. 2018 Jun;22(2):231-233. doi: 10.1007/s10006-018-0673-2. Epub 2018 Feb 18.

Abstract

The removal of displaced dental elements from deep anatomical spaces is a condition that requires the knowledge of the region and skills to perform the procedure. The lateral pharyngeal space contains important structures such as the internal carotid artery and close proximity with the cranium basis. The aim of this paper is to report a clinical case of a lower third molar displaced to the lateral pharyngeal space after a mandibular angle fracture and its treatment by surgical intervention. The tooth was removed under general anesthesia by direct approach and the fracture was reduced and fixed with a plate and screws. This case report illustrates the importance of an immediate procedure to avoiding severe complications and further damage to important anatomical structures.

摘要

从深部解剖间隙取出移位的牙体组织是一种需要了解该区域知识和具备操作技能的情况。咽旁间隙包含重要结构,如颈内动脉,且与颅底紧邻。本文旨在报告一例下颌角骨折后下颌第三磨牙移位至咽旁间隙的临床病例及其手术治疗情况。在全身麻醉下通过直接入路取出牙齿,并对骨折进行复位,用钢板和螺钉固定。本病例报告说明了立即采取手术的重要性,以避免严重并发症和对重要解剖结构造成进一步损伤。

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