Pathological Fractures of the Mandible in the Department of Cranio-Maxillofacial Surgery Medical University in Łódź

• Authors: Marta Tyndorf , Bogusława Manowska , Piotr Arkuszewski , Ewelina Gaszyńska
• Languages of publication: EN

Abstracts

EN

Pathological fractures of the mandible are rare, comprising 1-2% of this injuries.The aim of the study was to analyse demographic data, etiology, site and treatment procedures of pathological mandible fractures.Material and methods. The retrospective study comprised 17 patients (10 males and 7 females) with pathological mandible fracture. Upon the basis of the medical documentation, demographic data, such as age and sex, were recorded, and so were clinical data: mechanism of the fracture, its cause (pathology, causing lowering the mechanical resistibility of the mandible), location and manner of the treatment.Results. Most common cause of the fracture was presence of odontogenic cyst and mandibular atrophy. Most common mechanism of injury were chewing and falls. Regardless of the causes, the majority of the fractures occurred in the body of mandible.Conclusion. Treatment of the mandibular pathological fractures differs according to etiology.

Keywords

EN

mandibular fracture; pathological fracture

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2010
• Volume: 82
• Issue: 11
• Pages: 615-620

Dates

published

1 - 11 - 2010

online

7 - 1 - 2011

Contributors

author

Marta Tyndorf

• Department of Cranio-Maxillofacial Surgery in Łódź

author

Bogusława Manowska

• Department of Cranio-Maxillofacial Surgery in Łódź

author

Piotr Arkuszewski

• Department of Cranio-Maxillofacial Surgery in Łódź

author

Ewelina Gaszyńska

• Department of Cranio-Maxillofacial Surgery in Łódź

References

• Gerhards F, Kuffner HD, Wagner W: Pathological fractures of the mandible. A review of the etiology and treatment. Int J Oral Maxillofac Surg 1998; 27: 186-90.
• Martini MZ, Takahashi A, Oliveira Neto HG et al.: Epidemiology of mandibular fractures treated in Brazilian Level I trauma public hospital in the City of Sao Paulo, Brazil. Braz Dent J 2006; 17: 243-48.
• Wright GW, Wiesenfeld D, Seymour JF: Bilateral fracture of mandible in chronic lymphocytic leukemia. Case report. Aust Dent J 1997; 42: 20-24.[Crossref][PubMed]
• Simsek S, Simsek B, Abubaker AO et al.: A comparative study of mandibular fractures in the United States and Turkey. Int J Oral Maxillofac Surg 2007; 36: 395-97.
• Sirimaharaj W, Pyungtanasup K: The epidemiology of mandibular fractures treated at Chiang Mai University Hospital: A review of 198 Cases. J Med Assoc Thai 2008; 91: 868-74.
• Coletti D, Ord RA: Treatment rationale for pathological fractures of the mandible: a series of 44 fractures. Int J Oral Maxillofac Surg 2008; 37: 215-22.[WoS]
• Al Gahtani M, Alqudah M, Al. Shehri S et al.: Pathologic fracture of the mandible caused by metastatic follicular thyroid carcinoma. JCAD 2009; 75: 457-60.
• Manowska B, Arkuszewski P, Hilt T, Tyndorf M: Trudności w leczeniu złamania patologicznego żuchwy. Wiad Lek 2008; 1-3: 82-84.
• Dustan SP, Sugar AW: Fractures after removal of wisdom teeth. Br J Oral Maxillofac Surg 1997; 35: 396-97.
• Wojtukiewicz MZ, Sawicki Z: Przerzuty do żuchwy w przebiegu raka komórek wątrobowych - opis przypadku. Onkol Pol 1999; 2: 53-54.
• Jia J, Zhang WF, Liu B et al.: Pathological fracture of condyle from metastatic Brest adenocarcinoma. Oral Oncol Extra 2006; 42: 98-100.
• Osagawa T, Sano K, Hatsusegawa C et al.: Pathological fracture of the mandible resulting from osteomyelitis successfully treated with only intermaxillary elastic guiding. Int J Oral Maxillofac Surg 2007; 37: 581-83.[WoS]
• Borgiel-Marek H, Jędrusik-Pawłowska M, Drugacz J i wsp.: Śluzak kości szczęki i zuchwy - opis dwóch przypadków i przegląd piśmiennictwa. Czas Stomatol 2005; 63: 667-72.
• Pawela T, Konopka T, Gerber-Leszczyszyn H: Ziarniniak kwasochłonny wyrostka zębodołowego i zębodołowej części żuchwy. Dent Med Probl 2004; 41: 647-54.
• Wahl MJ: Osteoradionecrosis prevention myths. Int J Radiation Oncol Biol Phys 2006; 64: 661-69.[PubMed]
• Wgner KW, Otten R, Schmelzeisn R: Pathological mandibular fractures following third molar removal. Int J Oral Maxillofac Surg 2005; 34: 722-26.
• Ellis E III, Price C: Treatment protocol for fractures of atrophic mandible. J Oral Maxillofac Surg 2008; 66: 421-35.

Identifiers

DOI

10.2478/v10035-010-0093-y