Next Article in Journal
Demineralized Bone Matrix for Alveolar Cleft Management
Previous Article in Journal
Subclavicular Pectoralis Major Myocutaneous Flap for Optimal Reconstruction of Large Orbitozygomatic Defects: A Case Report
 
 
Craniomaxillofacial Trauma & Reconstruction is published by MDPI from Volume 18 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Sage.
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Case Report

Interesting Case: Displacement of Fractured Maxilla into Pharyngeal Space

by
Balasubramanian Krishnan
1,*,
Pradipta Kumar Parida
2 and
Surianarayanan Gopalakrishnan
2
1
Department of Dentistry, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry, India
2
Department of Otorhinolaryngology, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry, India
*
Author to whom correspondence should be addressed.
Craniomaxillofac. Trauma Reconstr. 2014, 7(3), 249-250; https://doi.org/10.1055/s-0034-1375170
Submission received: 21 September 2013 / Revised: 21 September 2013 / Accepted: 21 September 2013 / Published: 18 April 2014

Abstract

:
Atypical fracture patterns of the facial region have been reported infrequently. An unusual displacement of fractured posterior maxillary segment into the lateral pharyngeal space is described.

Atypical fracture patterns of the facial region have been reported infrequently [1,2,3]. An unusual displacement of a fractured posterior maxilla is described. A 62-year-old male patient reported to the Department of Dentistry with a complaint of facial pain, restricted mouth opening, and difficulty in swallowing. A history of a road traffic accident 13 days ago was elicited. On examination, the patient appeared distressed and dehydrated. Intraorally, all maxillary teeth on the left side from the lateral incisor along with left posterior maxilla were missing. A large area of the palatal mucosa was missing and the resultant defect was filled with debris, necrotic tissue, and purulent discharge. Severe tenderness was observed on palpation of the left soft palate, pterygomandibular, and lateral pharyngeal region. No neurological deficits were noticed. Neither the patient nor his relative could account for the loss of maxillary teeth. X-rays and computerized tomographic scan showed displacement of the entire left posterior maxillary segment into the lateral pharyngeal space along with a comminuted fracture of the zygomatic complex (►Figure 1 and Figure 2). An incision was made medial to the pterygomandibular raphe and the entire segment was removed by blunt and sharp dissection (►Figure 3). Following a thorough debridement, the resultant defect was allowed to heal by a combination of secondary intention and delayed primary closure. Postoperative period was uneventful and a palatal obturator was subsequently fitted.

References

  1. GA, G.; Currie, A. Unusual Le Fort I fracture. Br J Oral Maxillofac Surg 2013, 51, 669–670. [Google Scholar]
  2. Al-Hadad, I.; Burke, G.A.E.; Webster, K. Dentoalveolar fracture of the posterior maxilla. Br J Oral Maxillofac Surg 2009, 47, 165. [Google Scholar] [CrossRef] [PubMed]
  3. Monaghan, A.M. An unusual Le Fort II fracture. Br J Oral Maxillofac Surg 1991, 29, 256–258. [Google Scholar] [CrossRef] [PubMed]
Figure 1. Computerized tomographic scan showing displacement of fractured maxillary segment into lateral pharyngeal space.
Figure 1. Computerized tomographic scan showing displacement of fractured maxillary segment into lateral pharyngeal space.
Cmtr 07 00052 g001
Figure 2. 3D computed tomography scan showing displacement of fractured maxillary segment into lateral pharyngeal space.
Figure 2. 3D computed tomography scan showing displacement of fractured maxillary segment into lateral pharyngeal space.
Cmtr 07 00052 g002
Figure 3. Fractured segment in toto.
Figure 3. Fractured segment in toto.
Cmtr 07 00052 g003

Share and Cite

MDPI and ACS Style

Krishnan, B.; Parida, P.K.; Gopalakrishnan, S. Interesting Case: Displacement of Fractured Maxilla into Pharyngeal Space. Craniomaxillofac. Trauma Reconstr. 2014, 7, 249-250. https://doi.org/10.1055/s-0034-1375170

AMA Style

Krishnan B, Parida PK, Gopalakrishnan S. Interesting Case: Displacement of Fractured Maxilla into Pharyngeal Space. Craniomaxillofacial Trauma & Reconstruction. 2014; 7(3):249-250. https://doi.org/10.1055/s-0034-1375170

Chicago/Turabian Style

Krishnan, Balasubramanian, Pradipta Kumar Parida, and Surianarayanan Gopalakrishnan. 2014. "Interesting Case: Displacement of Fractured Maxilla into Pharyngeal Space" Craniomaxillofacial Trauma & Reconstruction 7, no. 3: 249-250. https://doi.org/10.1055/s-0034-1375170

APA Style

Krishnan, B., Parida, P. K., & Gopalakrishnan, S. (2014). Interesting Case: Displacement of Fractured Maxilla into Pharyngeal Space. Craniomaxillofacial Trauma & Reconstruction, 7(3), 249-250. https://doi.org/10.1055/s-0034-1375170

Article Metrics

Back to TopTop