Pathological fractures of the mandible: a diagnostic and treatment dilemma.
Pathological fractures of the facial bones are relatively rare. Four pathological mandibular fractures are presented and the difficulty in diagnosing the underlying cause and the dilemma of treatment choice are discussed with a review of the literature. The authors found the incidence of pathological fractures of the facial bones in their series was 0.47%. Biopsy followed by rigid internal fixation, preferably with an AO reconstruction plate bridging the area of pathology after its removal, permits normal function and allows good and undisturbed healing which will inevitably be prolonged in such cases.
Ezsiás
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Department of Oral and Maxillofacial Surgery, Welsh Centre for Burns, Plastic and Maxillofacial Surgery, St Lawrence Hospital, Chepstow.
Sugar
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AW
D000038:Abscess / Q000150:complications; D000328:Adult; D000368:Aged; D001706:Biopsy; D001860:Bone Plates; D002294:Carcinoma, Squamous Cell / Q000150:complications; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D005598:Fractures, Spontaneous / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007570:Jaw Cysts / Q000150:complications; D008297:Male; D008336:Mandibular Diseases / Q000150:complications / Q000382:microbiology; D008337:Mandibular Fractures / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000150:complications; D009807:Odontogenic Cysts / Q000150:complications; D009808:Odontogenic Tumors / Q000150:complications; D012189:Retrospective Studies