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A Case Report on Unusual Severe Superolateral Dislocation of Right Condyle Associated with Sagittal Split of Articular Eminence in Pan-Facial Trauma Managed with Inverted L-Plate | Chapter 08 | New Horizons in Medicine and Medical Research Vol. 1

 A difficult case for a maxillofacial surgeon is head and neck trauma, because not only must pre-injury anatomy be restored, but also the cosmetic aspect must be enhanced. The treatment of such patients is challenging and frequently involves the participation of a multidisciplinary team. One of the leading causes of severe trauma is unprotected driving or high-velocity crashes. Pan-facial trauma affects not only normal face structure but also normal functions such as vision (dystopia, diplopia, enophthalmos), breathing (airway) and olfactory senses, mastication and natural occlusion and intercuspation, deglutition, and the patient's overall appearance. In such trauma patients, restoring and rehabilitating the pre-injury shape of the facial skeleton involves artistic labour on the part of the operative maxillofacial surgeon. In the case of trauma, open reduction and internal fixation (ORIF) under general anaesthesia is the therapeutic option (GA). Various methods for achieving near-normal anatomy have been proposed. "Top to bottom" or "bottom to top," as well as "outward to inward" or "inward to outward," were offered in previous studies. The major goal is to restore the horizontal and vertical pillars of the face. This case was exceptional in that the complete mandibular condyle remained superolaterally displaced even after the zygomatic arch was fixed; the inverted "L" plate was employed to preserve the condyle in its natural position. Even in dynamic motion, the results were functionally satisfactory, and we advocate it as a viable therapeutic option for superolateral dislocation of the intact mandibular condyle.


Author(S) Details

Kansara Jay
Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, India.

Vikas Singh
Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, India.

Ruchika Tiwari
Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, India.

Vaishali Jamdade
Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, India.

Yogesh Kumar Sharma
Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Dental College and Hospital, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, India.

View Book:- https://stm.bookpi.org/NHMMR-V1/article/view/6173

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