Frey's syndrome after condylar fracture: case report

Frey's syndrome is the occurrence of hyperesthesia, flushing and warmth or sweating over the distribution of the auriculotemporal nerve and/or greater auricular nerve while eating foods that produce a strong salivary stimulus. Frey's syndrome is also known as auriculotemporal syndrome and gustatory sweating. We present a case of Frey's syndrome after a condylar fracture and its treatment by internal rigid fixation. A review of the literature is provided along with mention of a simple test (Minor's test) that can help in the diagnosis of this syndrome.     

Temporomandibular joint pain following airbag deployment on the face: a case report

Varieties of injuries have been reported as a result of the deployment of the airbag/s following road traffic accidents. The purpose of this case-report is to present a physiotherapist's perspective of a patient who was diagnosed as having temporomandibular pain and dysfunction following the deployment of the airbag on the face and its implications for the dental profession. The patient was assessed using a modified Maitland assessment procedure to establish the diagnosis and the treatment consisted of Maitland mobilisation techniques, pulsed short wave diathermy and ultrasound as and when indicated directed to the upper cervical spine. The outcome of this case-report suggests that the temporomandibular symptoms presented by this patient were of cervical origin. Therefore, it is suggested that the cervical spine should be routinely examined in patients presenting with temporomandibular pain and dysfunction following trauma and early referral to physiotherapy may facilitate early recovery.     

Fracture of the styloid process associated with mandibular fracture. A case report

A case of styloid process fracture associated with bilateral mandibular fracture is reported. The possible fracture mechanism, clinical features, radiographic diagnosis and treatment are discussed.     

Unusual fracture of a mandibular second premolar: a case report.

Root fractures of posterior teeth, which are defined as fractures involving cementum, dentin, and pulp, are relatively uncommon among dental traumas. This study describes an unusual horizontal fracture of a mandibular second premolar. The tooth was asymptomatic and the fracture unnoticed until the crown broke off completely. The patient had no recollection of a causative event nor was there any evidence of previous physical trauma. The tooth was extracted, embedded in resin, sliced, and examined with different light microscopes. It was concluded that the tooth had been damaged previously but not to the extent that the pulp was seriously damaged. Resorption over a period of time eventually caused the final fracture.     

Intra-articular fracture of the mandibular condyle: a case report

The authors describe a case of intra-articular fracture of the left mandibular condyle, successfully treated by the pumping technique in the upper and lower joint cavities, and show arthroscopic findings in these cavities. The patient was a 15-year-old boy whose maximum mouth opening was 30 mm. Computed tomography revealed a left intra-articular sagittal fracture of the condylar head. Aspiration of the hematoma in the upper and lower joint spaces was performed with ten pumping actions. In the upper and lower joint spaces, arthroscopic examination revealed the disappearance of the hematoma. The patient continued opening, protrusive, and lateral excursive exercises. One month after the surgery, the maximal interincisal distance was improved to 45 mm with straight opening. In the case presented, mouth-opening exercises, along with the pumping technique for treatment of an intraarticular fracture of the mandibular condyle, allowed satisfactory and stable results in the improvement of limited mouth movement.     

Orthodontic fixation of mandibular fracture: a case report

The present case illustrates a nonsurgical method of fixing a minimally displaced mandibular fracture with use of an easily prepared orthodontic appliance. This method offers several advantages for both the attending staff and the patient.     

Bilateral condylar atrophy after combined osteotomy for correction of mandibular retrusion. A case report

Bilateral atrophy of the mandibular condyles after maxillo-mandibular surgery for correction of a Class II open-bite is reported. Although a definite cause could not be ascertained, it is postulated that a biomechanical phenomenon based on increased muscle tension was the most likely causative mechanism.     

Aseptic osteomyelitis and necrosis of the mandibular condylar head after intracapsular fracture.

Aseptic osteomyelitis and necrosis of the mandibular condylar head is a rare complication which may occur several months after an untreated intracapsular fracture. Clinical symptoms are pain in the temporomandibular joint on the affected side and limitation of opening of the mouth. Radiographically, the condylar head is characteristically eroded and irregular. Treatment consists of surgical removal of the necrotic condylar head and débridement of the area, which are performed via a preauricular approach.     

Long-term results of early condylar fracture correction: case report

Abstract –  Condylar fractures in childhood occur frequently, often with minimal pain and discomfort and therefore the diagnosis is not made at the time of injury. Management may be surgical or non-surgical. Non-surgical therapy in children is the method of choice if the condyle can translate normally. In fact, there is an excellent chance of regeneration and continued normal development after fracture in growing patients. The purpose of this article is to describe the long-term clinical and radiological evaluation of a conservatively treated unilateral condylar fracture, a result of trauma, in a 6-year-old patient. In addition, she presented a congenitally missing lower incisor ipsilateral to the fracture and a class II malocclusion. She was treated with functional jaw orthopedics using a splint and an activator and subsequent orthodontic treatment with fixed appliances [ J Orofac Orthop 5 (2002) 429]. The remodeling process of the condylar head and neck is clearly observed in the panoramic radiographs of the 12-year follow-up records presented.     

Treatment of mandibular condylar process fractures: biological considerations.

The topic of condylar injury in adults has generated more discussion and controversy than any other in the field of maxillofacial trauma. It is an important subject because such injuries are common and complications of trauma to the temporomandibular joint (TMJ) are far-reaching in their effects. Why are there so many different methods to treat this injury? How can seemingly disparate treatment options all produce satisfactory outcomes in the majority of patients? The reason lies with the biological adaptations that occur within the masticatory system that are poorly understood, not readily quantifiable, and variable from one person to the next. This discussion presents our current understanding of the adaptations that must occur to provide the patient with a satisfactory outcome. The adaptations for patients treated open are different than for those treated closed. However, it is when these adaptations fail to occur that unsatisfactory outcomes occur, regardless of how they were treated.     

Diagnosis of pheochromocytoma during treatment of a mandibular fracture: report of case.

A case of pheochromocytoma, which was discovered during the patient's admission for treatment of mandibular fracture, is presented. Pheochromocytoma represents a potentially life-threatening disease, but alsl is a curable cause of hypertension. Therefore, in spite of its low incidence, it is important that the oral surgeon consider it in his evaluation of the hypertensive patient, especially when associated symptoms of sweating, palpitations, and headache are present.