Journal of Mahatma Gandhi University of Medical Sciences and Technology

Register      Login

VOLUME 4 , ISSUE 1 ( January-April, 2019 ) > List of Articles

CASE REPORT

Unusual Severe Superolateral Dislocation of Right Condyle Associated with Sagittal Split of Articular Eminence in Pan-facial Trauma Managed with Inverted L-plate: A Case Report

Kansara Jay, Vikas Singh, Ruchika Tiwari, Vaishali Jamdade, Yogesh Kumar Sharma

Keywords : Lower third facial fracture, Mid facial fracture, Open reduction and internal fixation, Pan-facial trauma, Superolateral dislocation of the intact mandibular condyle

Citation Information : Jay K, Singh V, Tiwari R, Jamdade V, Sharma YK. Unusual Severe Superolateral Dislocation of Right Condyle Associated with Sagittal Split of Articular Eminence in Pan-facial Trauma Managed with Inverted L-plate: A Case Report. J Mahatma Gandhi Univ Med Sci Tech 2019; 4 (1):21-26.

DOI: 10.5005/jp-journals-10057-0106

License: CC BY-NC 4.0

Published Online: 15-10-2020

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Head and neck trauma is a challenging case for a maxillofacial surgeon because not only preinjury anatomy needs to be achieved but also esthetic has to be improved. Management of such patients is quite challenging and also requires a frequent multidisciplinary team intervention. One of the cause of such trauma is unprotected driving or high-velocity collision.1 Pan-facial trauma not only disrupts normal facial anatomy but also hinders normal functions like vision (dystopia, diplopia, enophthalmos), respiration (airway) and olfactory senses, mastication and natural occlusion and intercuspation, deglutition, and overall asthetic of the patient. Restoring and rehabilitation of preinjury contour of facial skeleton in such patient of trauma requires artistic work of the operating maxillofacial surgeon. The treatment modality in case of trauma is open reduction and internal fixation (ORIF) under general anesthesia (GA). Various approaches have been suggested to achieve near normal anatomy. Past research suggested “top to bottom” or “bottom to top” along with “outward to inward” or “inward to outward,” The main aim being restoring horizontal and vertical facial pillars.


PDF Share
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.