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Management of arthroscopic perforation of the middle cranial fossa: a case report
R Martin-Granizo1, L V González2, C Mazo1
1Department of Oral and Maxillofacial Surgery, Hospital Clínico San Carlos, Madrid, Spain.
Abstract:
Complications during temporomandibular joint arthroscopy have been described widely. However, while perforation of the neighbouring anatomical structures, such as the cranial fossa, is a possibility, perforation of the middle cranial fossa and its arthroscopic management have not been reported previously. This report describes a case of middle cranial fossa perforation diagnosed intraoperatively and its immediate arthroscopic management.
Insights
Temporomandibular joint arthroscopy complications are known, but middle cranial fossa perforation is rare. This case details its intraoperative diagnosis and immediate arthroscopic management.
Area of Science:
- Neurosurgery
- Oral and Maxillofacial Surgery
- Orthopedics
Background:
- Temporomandibular joint (TMJ) arthroscopy is a common procedure.
- Complications, including perforation of adjacent structures, can occur.
- Middle cranial fossa perforation during TMJ arthroscopy is an undocumented complication.
Observation:
- A case of unexpected middle cranial fossa perforation during TMJ arthroscopy was identified intraoperatively.
- The perforation was managed immediately using arthroscopic techniques.
Findings:
- This report presents the first documented instance of middle cranial fossa perforation during TMJ arthroscopy.
- Successful immediate arthroscopic management of this rare complication was achieved.
Implications:
- Highlights the importance of awareness regarding potential cranial fossa injuries during TMJ arthroscopy.
- Suggests that arthroscopic techniques can be utilized for immediate management of such rare perforations.
- Contributes to the understanding of TMJ arthroscopy risks and their surgical management.
