Surgical Management of Pathologic Mandibular Fractures
- 1 November 2012
- journal article
- brief clinical-studies
- Published by Ovid Technologies (Wolters Kluwer Health) in The Journal of Craniofacial Surgery
- Vol. 23 (6), e560-e562
- https://doi.org/10.1097/scs.0b013e31825cf1f8
Abstract
The aim of this article was to present our experience in the management of pathologic mandibular fractures. We conducted a retrospective analysis of 14 patients with pathologic mandibular fractures associated with osteoradionecrosis, bisphosphonate-related osteonecrosis of the jaw, benign/malignant lesions, osteomyelitis, idiopathic, or iatrogenic etiology. Data collected included age, sex, etiology, site, treatment, and outcome. Five patients had iatrogenic fractures, 3 patients had osteomyelitis, 2 had benign cystic lesion, and the remaining 4 had primary squamous cell carcinoma, histiocytosis, multiple myeloma, and bisphosphonate-related osteonecrosis of the jaw, respectively. Eleven fractures of 14 were treated using a 2.4-mm mandibular plate. Pathologic mandibular fractures may be challenging to treat because of their different etiology and peculiar local and general conditions, often requiring a more rigid fixation. In patients with poor medical conditions, simpler and more limited options may be preferred.Keywords
This publication has 2 references indexed in Scilit:
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- Pathological fractures of the mandible: A review of the etiology and treatmentInternational Journal of Oral & Maxillofacial Surgery, 1998