外伤致下颌骨髁突颅内移位：病例报告及文献复习

doi:10.19438/j.cjoms.2022.05.018

中国口腔颌面外科杂志 ›› 2022, Vol. 20 ›› Issue (5): 513-516.doi: 10.19438/j.cjoms.2022.05.018

外伤致下颌骨髁突颅内移位：病例报告及文献复习

马玉洁, 余敏杰, 宋赛文, 张馨月, 蔡宜倞, 陈洁, 袁勇翔, 蒋灿华

中南大学湘雅医院口腔医学中心,湖南长沙 410078

收稿日期:2022-04-15 修回日期:2022-05-17 出版日期:2022-09-20 发布日期:2022-09-20
通讯作者: 蒋灿华,E-mail：canhuaj@csu.edu.cn
作者简介:马玉洁（1994-）,女,硕士研究生,E-mail：mmyjmmyj@163.com

Intracranial dislocation of mandibular condyle: case report and literature review

MA Yu-jie, YU Min-jie, SONG Sai-wen, ZHANG Xin-yue, CAI Yi-jing, CHEN Jie, YUAN Yong-xiang, JIANG Can-hua

Stomatological Center of Xiangya Hospital, Central South University. Changsha 410078, Hunan Province, China

Received:2022-04-15 Revised:2022-05-17 Online:2022-09-20 Published:2022-09-20

摘要/Abstract

摘要： 下颌骨髁突颈部结构薄弱,受外力作用时容易折断,从而通过缓冲创伤能量,避免颅中窝及颅脑等重要解剖部位受到损伤,可视为人体的一种自我保护机制。本文报告1例较为少见的髁突颅内移位外伤病例,髁突在未发生骨折的情况下向上移位,突破颅中窝底进入颅内,并结合相关文献,就其发生机制、临床表现、诊断及治疗进行讨论。

关键词: 下颌骨髁突, 颅内移位, 治疗

Abstract: The structurally weak mandibular condylar neck is more likely to break when subjected to external force. Mandibular condyle fractures can dissipate the traumatic energy, avoiding damage to the middle cranial fossa and other important anatomical structures of the brain, which can be regarded as a self-protection mechanism of the human body. A rare case of traumatic dislocation of the mandibular condyle into the middle cranial fossa was reported in this paper. The patient’s mandibular condyle without fracture was dislocated through the base of the middle cranial fossa into the cranium. The pathogenesis, clinical manifestations, diagnosis and treatment for intracranial dislocation of mandibular condyle were discussed with review of relative literatures.

Key words: Mandibular condyle, Intracranial dislocation, Treatment

中图分类号:

782.4

马玉洁, 余敏杰, 宋赛文, 张馨月, 蔡宜倞, 陈洁, 袁勇翔, 蒋灿华. 外伤致下颌骨髁突颅内移位：病例报告及文献复习[J]. 中国口腔颌面外科杂志, 2022, 20(5): 513-516.

MA Yu-jie, YU Min-jie, SONG Sai-wen, ZHANG Xin-yue, CAI Yi-jing, CHEN Jie, YUAN Yong-xiang, JIANG Can-hua. Intracranial dislocation of mandibular condyle: case report and literature review[J]. China J Oral Maxillofac Surg, 2022, 20(5): 513-516.

参考文献

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外伤致下颌骨髁突颅内移位：病例报告及文献复习

Intracranial dislocation of mandibular condyle: case report and literature review

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