Unilateral isolated fracture of the pterygoid plate: a case report

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Resumo

Pterygoid plate fractures are often associated with Le Fort fractures and accompanied by other facial fractures such as frontal sinus and naso-orbital-ethmoid fractures; isolated pterygoid plate fractures are extremely rare.

Le Fort fractures must be surgically treated with fixation of unstable fracture segments to re-establish bone form and function, and the pterygoid process must be surgically stabilized; however, surgical treatment is unnecessary in isolated pterygoid plate fractures.

Here, we report a rare case of isolated unilateral fracture of the pterygoid process in a 71-year-old female patient who had a syncopal episode with secondary head injury and a hematoma at the base of the right orbit.

A computed tomography scan showed unilateral right pterygoid plate fracture with signs of emphysema in the ipsilateral masticatory space. The patient also had a fracture of the medial wall of the right maxillary sinus with hemosine, but no fractures of the skull base or theca. She was treated conservatively.

Sobre autores

Rosario Francesco Balzano

Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital

Email: ro.balzano@gmail.com
Itália, Foggia

Valentina Testini

Department of Clinical and Experimental Medicine, Foggia University School of Medicine

Email: testinivalentina@gmail.com
Itália, Foggia

Aldo Cammarota

Radiation Oncology Unit, IRCCS CROB, Rionero in Vulture

Email: aldo.cammarota@crob.it
Itália, Potenza

Giuseppe Guglielmi

Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital; Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Radiology Unit, Hospital “Casa Sollievo Della Sofferenza”, San Giovanni Rotondo

Autor responsável pela correspondência
Email: giuseppe.guglielmi@unifg.it
ORCID ID: 0000-0002-4325-8330

Medical Doctor, Full Professor of Radiology, Department of Clinical and Experimental Medicine.

Itália, Foggia; Foggia; Foggia

Bibliografia

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Declaração de direitos autorais © Balzano R.F., Testini V., Cammarota A., Guglielmi G., 2022

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Este artigo é disponível sob a Licença Creative Commons Atribuição–NãoComercial–SemDerivações 4.0 Internacional.

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