TITLE:
Pathological fractures of the mandible: A report of ten cases and a review of the literature
AUTHORS:
Badreddine Abir, Alae Guerrouani, Abdeljalil Abouchadi
KEYWORDS:
Mandibular Fracture; Pathological Fracture
JOURNAL NAME:
Open Journal of Stomatology,
Vol.3 No.8,
November
15,
2013
ABSTRACT: Introduction:
Pathological fractures of the mandible are rare. They account for approximately
2% of all mandibular fractures. The main purpose of the study is to report our experience
concerning this condition and to analyse data and review the literature available. Material and
methods: This study reviewed retrospectively the records of patients who presented
to the department of Plastic and Maxillofacial surgery between 2000 and 2008 with
a pathological fracture of the mandible. The collected data included age, sex, mechanism
of injury, aetiology, anatomic site of fracture, treatment and complications. Results: There were 10 patients with an average age of 48
years and 10 months. There were three cases of fracture due to a local malignancy,
two cases of osteoradionecrosis, two cases of mandibular cysts, one patient presenting
a mandibular histiocytosis, one patient with a metastatic carcinoma (Thyroid),
and one case related to mandibular atrophy. Most common mechanisms of injury were
chewing and falls. Pathological fractures were often located in the body of the
mandible. A surgical approach was performed in most cases. Conclusion: Surgical
management of pathological fractures of the mandible depends largely on the aetiology.
Complications occur more often because of local condition and bad oral hygiene.