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ISSN 0001-0944 (Print)
Órgano Oficial de la Asociación Dental Mexicana

2016, Number 4

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Rev ADM 2016; 73 (4)

Pathological fracture resulting from osteomyelitis. A case report

Guerra LDA, Leal PP, Martínez TJA

Language: Spanish
References: 16
Page: 197-200
PDF size: 667.93 Kb.


ABSTRACT

Pathological mandibular fractures are rare, accounting for between 1 and 2% of all fractures. They can be defined as fractures that occur in regions where the bone has become weakened as a result of a pathological process. Common causal factors include surgical procedures such as third molar removal, implant placement, bisphosphonate-related osteonecrosis, osteoradionecrosis of the jaw, osteomyelitis, infections, tumors, and cystic lesions. Osteomyelitis is an inflammatory condition of the bone; this pathology is one of the factors that may prompt weakening of the mandibular bone and cause subsequent pathological fracture. Osteomyelitis of the mandible may develop if a primary infection is not properly treated. Treatment of pathological mandibular fractures can be challenging and varies according to their etiology. This article looks at the case of a 54-year-old woman with a pathological mandibular fracture caused by osteomyelitis, which was treated by means of antibioticotherapy and surgical intervention.


REFERENCES

  1. McGoldrick DM, McCarthy C, Sleeman D. Pathological fracture of the mandible. BMJ Case Rep. 2015. doi: 10.1136/bcr-2014-208487.

  2. Boffano P, Roccia F, Gallesio C, Berrone S. Pathological mandibular fractures: a review of the literature of the last two decades. Dent Traumatol. 2013; 29: 185-196.

  3. Akhtar MU, Chatha MR, Ali K, Nazir A. Diabetes mellitus and osteomyelitis of the jaws. Pak Oral Dent J. 2014; 34: 217-223.

  4. Regezi J, Sciubba J, Pérez J. Patología bucal: correlaciones clinicopatológicas. 3a ed. México: McGraw-Hill Interamericana; 2000. pp. 389-392.

  5. Goel, M, Bala S, Narwal A, Goyal R. Chronic suppurative osteomyelitis. A case report. Clin Dent. 2012; 6: 50-53.

  6. Rajkumar GC, Hemalatha M, Shashikala R, Veerendra-Kumar D. Recurrent chronic suppurative osteomyelitis of the mandible. Indian J Dent Res. 2010; 2: 606-608.

  7. Belli E, Liberatore G, Mici E, Dell’Aversana-Orabona G, Piombino P, Maglitto F et al. Surgical evolution in the treatment of mandibular condyle fractures. BMC Surg. 2015; 15: 16.

  8. Jorge L, Chueire A, Rossit A. Osteomyelitis: a current challenge. Braz J Infect Dis. 2010; 14 (3): 310-315.

  9. McGoldrick DM, McCarthy C, Sleeman D. Pathological fracture of the mandible. BMJ Case Rep. 2015. doi: 10.1136/bcr-2014-208487.

  10. Boffano P, Roccia F, Gallesio C, Berrone S. Pathological mandibular fractures: a review of the literature of the last two decades. Dent Traumatol. 2013; 29: 185-196.

  11. Akhtar MU, Chatha MR, Ali K, Nazir A. Diabetes mellitus and osteomyelitis of the jaws. Pak Oral Dent J. 2014; 34: 217-223.

  12. Regezi J, Sciubba J, Pérez J. Patología bucal: correlaciones clinicopatológicas. 3a ed. México: McGraw-Hill Interamericana; 2000. pp. 389-392.

  13. Goel, M, Bala S, Narwal A, Goyal R. Chronic suppurative osteomyelitis. A case report. Clin Dent. 2012; 6: 50-53.

  14. Rajkumar GC, Hemalatha M, Shashikala R, Veerendra-Kumar D. Recurrent chronic suppurative osteomyelitis of the mandible. Indian J Dent Res. 2010; 2: 606-608.

  15. Belli E, Liberatore G, Mici E, Dell’Aversana-Orabona G, Piombino P, Maglitto F et al. Surgical evolution in the treatment of mandibular condyle fractures. BMC Surg. 2015; 15: 16.

  16. Jorge L, Chueire A, Rossit A. Osteomyelitis: a current challenge. Braz J Infect Dis. 2010; 14 (3): 310-315.




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