Accidental Infratemporal Displacement of Maxillary Third Molar during Impaction - A Case Report.

Q2 Dentistry

Annals of Maxillofacial Surgery Pub Date : 2024-07-01 Epub Date: 2025-01-09 DOI:10.4103/ams.ams_125_24

S M Balaji, Preetha Balaji, Vinodhini Priyanka

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引用次数: 0

Abstract

Rationale: There are very limited literature on successful removal of displaced maxillary third molar (MTM) into the infratemporal fossa (ITF) after a surgical misadventure. A corrective surgery of one such case, including the pre-operative planning, has been presented in this case report.

Patient concerns: A 43-year-old male presented with a displaced right MTM following an attempted extraction elsewhere approximately 20 days ago.

Diagnosis: Imaging revealed the tooth in the ITF, behind the posterior wall of the maxillary sinus with the resultant diagnosis of iatrogenic displacement of MTM into the ITF during attempted removal.

Treatment: The patient underwent successful removal of the displaced tooth under general anaesthesia after proper planning.

Outcomes: Displaced MTM was removed, and healing was uneventful with pain management and antibiotics.

Take-away lessons: This case highlights the need for careful surgical technique during MTM removal and contributes to the limited literature on managing such complications.

Abstract Image

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嵌塞时上颌第三磨牙颞下移位1例。

理由：关于手术事故后成功将移位的上颌第三磨牙（MTM）移至颞下窝（ITF）的文献非常有限。一例此类病例的矫正手术，包括术前计划，已在本病例报告中提出。患者关注：一名43岁男性，约20天前在其他地方尝试拔牙后右侧MTM移位。诊断：影像学显示牙齿位于上颌窦后壁后方的ITF内，诊断为医源性MTM移位至ITF内。治疗：病人在全身麻醉下，经过适当的计划，成功地拔除了脱位的牙齿。结果：移位的MTM被移除，疼痛管理和抗生素治疗顺利。吸取的教训：本病例强调了在MTM切除过程中需要谨慎的手术技术，并有助于处理此类并发症的有限文献。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Maxillofacial Surgery Medicine-Surgery

CiteScore

1.20

自引率

0.00%

发文量