{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T18:03:47Z","timestamp":1786125827888,"version":"build-2736575974"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Dislocation of the mandibular condyle (MC) is not a common condition, but when a traumatic case involves erosion of the middle fossa floor, it becomes a much more complicated and even rarer pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>To describe the management of traumatic dislocation of the MCs with erosion of the middle fossa floor. We provide a step-by-step surgical video demonstrating reestablishment of the condylar position and occlusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A 65-yr-old woman with rheumatoid arthritis presented after a ground-level fall. She was admitted to the intensive care unit with simultaneous complex medical conditions, intubated, and medically treated for over a month. She was seen in outpatient follow-up 2 mo later and noted to have an anterior open bite and bilateral temporomandibular joint pain. Computed tomography of the face showed bilateral dislocation of the MCs with erosion of the middle fossa floor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Open surgical treatment with bilateral eminectomies was performed to obtain adequate reduction, involving a multidisciplinary team including neurosurgery, oral\u2013maxillofacial surgery, and otolaryngological surgery. She did well postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Multiple factors predispose a patient to MC dislocation, but we believe the catalyst in this case was significant manipulation of the jaw during endotracheal intubation. A chronic postoperative open bite can lead to much more difficult treatment, given bony erosion and fibrotic tissue formation. This case highlights the challenges of diagnosis and treatment of a bilateral traumatic dislocation and provides a surgical video reference description of repair and resolution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1227\/ons.0000000000000048","type":"journal-article","created":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T11:55:21Z","timestamp":1641210921000},"page":"144-149","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Reduction of Chronic Bilateral Traumatic Dislocation of the Mandibular Condyles With Erosion of the Middle Fossa Floor: Case Report With Surgical Video"],"prefix":"10.1227","volume":"22","author":[{"given":"Guilherme J.","family":"Agnoletto","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandrine","family":"Couldwell","sequence":"additional","affiliation":[{"name":"Section of Oral and Maxillofacial Surgery, School of Dentistry, University of Utah, Salt Lake City, Utah, USA;"},{"name":"School of Dental Medicine, Tufts University, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie R.","family":"Halpern","sequence":"additional","affiliation":[{"name":"Section of Oral and Maxillofacial Surgery, School of Dentistry, University of Utah, Salt Lake City, Utah, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Adams","sequence":"additional","affiliation":[{"name":"Section of Oral and Maxillofacial Surgery, School of Dentistry, University of Utah, Salt Lake City, Utah, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0070-0053","authenticated-orcid":false,"given":"William T.","family":"Couldwell","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,12,31]]},"reference":[{"issue":"2","key":"R1-20251027","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/S1061-3315(18)30097-0","article-title":"Surgical correction of temporomandibular dislocation","volume":"4","author":"Kendell","year":"1996","journal-title":"Atlas Oral Maxillofac Surg Clin North Am."},{"key":"R2-20251027","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1097\/00006534-196306000-00008","article-title":"Mandibular laterognathism","volume":"31","author":"Dingman","year":"1963","journal-title":"Plast Reconstr Surg."},{"issue":"7","key":"R3-20251027","doi-asserted-by":"crossref","first-page":"rjx149","DOI":"10.1093\/jscr\/rjx149","article-title":"Dislocation of a mandibular condyle in the middle cranial fossa, diagnosed 54 years after trauma","volume":"2017","author":"De Mol","year":"2017","journal-title":"J Surg Case Rep."},{"issue":"1 suppl","key":"R4-20251027","first-page":"75","article-title":"Dislocation of the mandible into the middle cranial fossa. Case report","volume":"107","author":"Magge","year":"2007","journal-title":"J Neurosurg."},{"issue":"1","key":"R5-20251027","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s10006-013-0395-4","article-title":"Dislocation of the mandibular condyle into the middle cranial fossa: a case report","volume":"18","author":"Vaezi","year":"2014","journal-title":"Oral Maxillofac Surg."},{"issue":"3","key":"R6-20251027","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1046\/j.1445-2197.2002.02369.x","article-title":"Intracranial dislocation of the mandibular condyle","volume":"72","author":"Davis","year":"2002","journal-title":"ANZ J Surg."},{"issue":"4","key":"R7-20251027","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/0278-2391(95)90725-4","article-title":"Fracture of the mandibular condyle causing meningeal bleeding","volume":"53","author":"Dahlberg","year":"1995","journal-title":"J Oral Maxillofac Surg."},{"issue":"4","key":"R8-20251027","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/S0278-2391(96)90129-9","article-title":"Intracranial reduction of an intact mandibular condyle displaced into the middle cranial fossa","volume":"54","author":"Sandler","year":"1996","journal-title":"J Oral Maxillofac Surg."},{"issue":"2","key":"R9-20251027","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1097\/00006534-198602000-00026","article-title":"Injury to the glenoid fossa","volume":"77","author":"Rappaport","year":"1986","journal-title":"Plast Reconstr Surg."},{"issue":"1","key":"R10-20251027","doi-asserted-by":"crossref","first-page":"132.e1","DOI":"10.1016\/j.joms.2018.09.011","article-title":"Updated review of traumatic dislocation of the mandibular condyle into the middle cranial fossa","volume":"77","author":"Monteiro","year":"2019","journal-title":"J Oral Maxillofac Surg."},{"issue":"2","key":"R11-20251027","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.amjoto.2013.11.004","article-title":"Traumatic dislocation of intact mandibular condyle into middle cranial fossa","volume":"35","author":"Oberman","year":"2014","journal-title":"Am J Otolaryngol."},{"issue":"3","key":"R12-20251027","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.joms.2015.09.033","article-title":"Treatment algorithm for intracranial intrusion injuries of the mandibular condyle","volume":"74","author":"Arya","year":"2016","journal-title":"J Oral Maxillofac Surg."},{"issue":"2","key":"R13-20251027","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.oooo.2017.04.007","article-title":"Assessment of condyle position, fossa morphology, and disk displacement in symptomatic patients","volume":"124","author":"Rabelo","year":"2017","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol."},{"issue":"3","key":"R14-20251027","doi-asserted-by":"crossref","first-page":"e0121682","DOI":"10.1371\/journal.pone.0121682","article-title":"Assessment of condyle and glenoid fossa morphology using CBCT in South-East Asians","volume":"10","author":"Al-koshab","year":"2015","journal-title":"PLoS One"},{"issue":"4","key":"R15-20251027","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/BF03010145","article-title":"Jaw dislocation during general anaesthesia","volume":"34","author":"Sosis","year":"1987","journal-title":"Can J Anaesth."},{"key":"R16-20251027","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1186\/1752-1947-7-243","article-title":"Unrecognized bilateral temporomandibular joint dislocation after general anesthesia with a delay in diagnosis and management: a case report","volume":"7","author":"Pillai","year":"2013","journal-title":"J Med Case Rep."},{"issue":"4","key":"R17-20251027","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.bjoms.2020.08.039","article-title":"Dislocation of the mandibular condyle into the middle cranial fossa. A case of temporomandibular joint arthroplasty with resorbable fixation system and temporalis myofascial flap: systematic review and meta-analysis","volume":"59","author":"D\u00edez-Su\u00e1rez","year":"2021","journal-title":"Br J Oral Maxillofac Surg."},{"issue":"6","key":"R18-20251027","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1067\/moe.2000.106693","article-title":"Dislocation of the temporomandibular joint","volume":"89","author":"Shorey","year":"2000","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol."},{"issue":"6","key":"R19-20251027","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1016\/S0300-9785(84)80018-6","article-title":"Eminectomy as surgical treatment for chronic mandibular dislocations","volume":"13","author":"Helman","year":"1984","journal-title":"Int J Oral Surg."}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1227\/ONS.0000000000000048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:02:12Z","timestamp":1786122132000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1227\/ONS.0000000000000048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,31]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1227\/ons.0000000000000048","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,31]]},"assertion":[{"value":"2021-07-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}