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Unilateral isolated fracture of the pterygoid plate: a case report

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1. Title Title of document Unilateral isolated fracture of the pterygoid plate: a case report
2. Creator Author's name, affiliation, country Rosario Francesco F. Balzano; Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital; Italy
2. Creator Author's name, affiliation, country Valentina Testini; Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Italy
2. Creator Author's name, affiliation, country Aldo Cammarota; Radiation Oncology Unit, IRCCS CROB, Rionero in Vulture; Italy
2. Creator Author's name, affiliation, country 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; Italy
3. Subject Discipline(s)
3. Subject Keyword(s) pterygoid plate fractures; Le Fort Fractures; computed tomography
4. Description Abstract

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.

5. Publisher Organizing agency, location Eco-Vector
6. Contributor Sponsor(s)
7. Date (DD-MM-YYYY) 24.04.2022
8. Type Status & genre Peer-reviewed Article
8. Type Type Research Article
9. Format File format PDF (Eng), PDF (Eng),
10. Identifier Uniform Resource Identifier https://jdigitaldiagnostics.com/DD/article/view/90282
10. Identifier Digital Object Identifier (DOI) 10.17816/DD90282
10. Identifier Digital Object Identifier (DOI) (PDF (Rus)) 10.17816/DD90282-81091
10. Identifier Digital Object Identifier (DOI) (PDF (简体中)) 10.17816/DD90282-81944
10. Identifier Digital Object Identifier (DOI) (PDF (Eng)) 10.17816/DD90282-82958
11. Source Title; vol., no. (year) Digital Diagnostics; Vol 3, No 1 (2022)
12. Language English=en ru
13. Relation Supp. Files Fig 1: Axial (a) and coronal (b) CT scan with a bone window showing unilateral right pterygoid plate fracture (arrows) with air bubbles of emphysema (arrowheads) in the ipsilateral masticatory space. (152KB) doi: 10.17816/DD90282-66164
Fig 2: Axial (a) and coronal (b) CT scan with bone window documents the fracture of the medial wall of the right maxillary sinus (arrows). Soft window (c) shows hemosine in the right maxillary sinus (arrowhead). (179KB) doi: 10.17816/DD90282-66165
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions Copyright (c) 2022 Balzano R.F., Testini V., Cammarota A., Guglielmi G.
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