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下颌骨髁突骨折并脱位至中颅窝。

Mandibular condyle fracture and dislocation into the middle cranial fossa.

作者信息

Pepper L, Zide M F

出版信息

Int J Oral Surg. 1985 Jun;14(3):278-83. doi: 10.1016/s0300-9785(85)80040-5.

Abstract

A case report is presented concerning a patient who sustained a condyle fracture with superior dislocation into the middle cranial fossa. Although relatively rare, other cases of central condylar dislocation have been presented and will be discussed and compared. Diagnosis has been a problem, and treatments have varied greatly for these cases. This is the first case on record, however, in which such a dislocation occurred in conjunction with a fracture of the condylar head. In the present case, the dura was covered with temporalis muscle and the glenoid fossa was covered using the fragments of the fractured condyle as an autogenous free bone graft.

摘要

本文报告一例髁突骨折伴向上脱位进入中颅窝的患者。虽然相对罕见,但其他中央髁突脱位的病例也已被报道,并将进行讨论和比较。诊断一直是个问题,这些病例的治疗方法也有很大差异。然而,这是有记录以来第一例这种脱位与髁突头部骨折同时发生的病例。在本病例中,硬脑膜用颞肌覆盖,关节盂窝用骨折髁突的碎片作为自体游离骨移植覆盖。

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