RESUMO
Traumatic intracranial intrusions of the mandibular condyle are a rare injury pattern that carries significant morbid outcomes due to potential for neurological, otological, temporomandibular joint damage, or joint ankylosis. Treatment modalities involve either closed reduction, open approaches via transcranial or subtemporal approaches, or delayed total joint replacement. This paper presents a clinical report of a traumatic intracranial intrusion of the mandibular condyle treated with an endoscopically assisted preauricular approach to reconstruct the middle cranial fossa and temporomandibular articular disc. Endoscopically assisted techniques allow for minimally invasive and less morbid surgical interventions to this pathology, with greater precision than closed reduction techniques.
Assuntos
Fossa Craniana Média , Endoscopia/métodos , Côndilo Mandibular , Procedimentos de Cirurgia Plástica/métodos , Adulto , Fossa Craniana Média/lesões , Fossa Craniana Média/cirurgia , Feminino , Humanos , Côndilo Mandibular/lesões , Côndilo Mandibular/cirurgia , Adulto JovemRESUMO
Dentigerous cysts in the craniomaxillofacial complex are a benign pathology commonly associated with ectopically placed teeth. Owing to slow and asymptomatic growth, they often attain considerable size before diagnosis that may compromise adjacent anatomical structures. Various techniques for removal of dentigerous cysts from the maxillary sinus have been described. This case report demonstrates a hybrid endoscopically assisted modification of the Caldwell-Luc approach to provide the technical advantages of both techniques.
Assuntos
Cisto Dentígero/diagnóstico , Cisto Dentígero/cirurgia , Seio Maxilar/diagnóstico por imagem , Cirurgia Endoscópica por Orifício Natural/métodos , Dente Supranumerário/cirurgia , Diagnóstico Diferencial , Humanos , Masculino , Seio Maxilar/cirurgia , Pessoa de Meia-Idade , Boca , Tomografia Computadorizada por Raios X , Dente Supranumerário/diagnósticoRESUMO
The ectopic placement of mandibular third molars in the subcondylar region is an uncommon phenomenon. Most patients are asymptomatic but can present with acute infection or associated pathology necessitating surgical intervention. Surgical approaches have been described utilizing both extraoral and intraoral approaches to the region.This paper presents a clinical report of a patient presenting with acute fascial space infection arising from an ectopic third molar in the mandibular subcondylar region, managed with surgical removal via an endoscopically assisted intraoral approach.