Lachard J, Guilbert F, Gola R, Blanc J L, Bertrand J C, Rocca A, Desbrosse B, le Retraite G
Ann Otolaryngol Chir Cervicofac. 1981;98(10-11):543-6.
Three cases of intracranial penetrations of the mandibular condyle condyle are reported, the published literature reviewed, and therapy discussed. Often unrecognized during initial examinations, they are diagnosed when the patient is seen several months later with permanent constriction of the jaws. Frontal and sagittal tomographic examinations should therefore be performed in the articular region in all cases when it is involved in injuries. Orthopedic reduction gives good results in recent injuries, long-standing cases with temporomandibular ankylosis requiring sub-condylar resection by the pre-auricular approach.
本文报告了3例下颌髁突颅内穿透伤的病例,回顾了已发表的文献并讨论了治疗方法。这类损伤在初次检查时常常未被发现,患者在数月后出现颌骨永久性挛缩时才得以确诊。因此,在所有涉及关节区损伤的病例中,均应在关节区进行额部和矢状位断层扫描检查。对于近期损伤,矫形复位效果良好;对于长期存在颞下颌关节强直的病例,则需要通过耳前入路进行髁突下切除术。