Penetration of the mandibular condyle into the middle cranial fossa: report of a case in a 6-year-old girl.
Reported cases of dislocation of the mandibular condyle into the middle cranial fossa are rare. Treatment of this injury should be individualized and should take in account the age of the patient, growth potential, the degree of glenoid fossa destruction, the risk of ankylosis and the risk of further cranial injury. In children, functional therapy is aimed at helping the restoration of posterior facial height, good occlusal relations and function. Long-term follow-up is mandatory. Surgery may be required later to correct asymmetrical growth or developing ankylosis. This article describes a case of condylar penetration into the middle cranial fossa in a six-year-old child and the treatment performed to minimize consequences on occlusion and facial development.
DeFabianis
P
P
Department of Odontostomatology, St. John the Baptist Hospital, University of Torino, Italy.
D000058:Accidental Falls; D000367:Age Factors; D000844:Ankylosis / Q000209:etiology / Q000517:prevention & control; D016723:Bone Remodeling / Q000502:physiology; D002648:Child; D003766:Dental Occlusion; D005146:Facial Asymmetry / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery / Q000628:therapy*; D008335:Mandibular Condyle / Q000293:injuries*; D008445:Maxillofacial Development / Q000502:physiology; D026741:Physical Therapy Modalities; D011862:Radiography, Panoramic; D012307:Risk Factors; D019291:Skull Base / Q000293:injuries*; D013701:Temporal Bone / Q000293:injuries; D013704:Temporomandibular Joint / Q000293:injuries*; D013705:Temporomandibular Joint Disorders / Q000209:etiology / Q000517:prevention & control; D014057:Tomography, X-Ray Computed; D014716:Vertical Dimension; D014949:Wounds, Nonpenetrating / Q000601:surgery / Q000628:therapy