SciELO - Scientific Electronic Library Online

 
vol.41 número4Variación de la dimensión del espacio orofaríngeo después de la cirugía de retroceso mandibular en pacientes con deformidad dentofacial clase IIIEfecto comparativo del método de fractura mecánica y el método de corte en la viabilidad de las células de la pulpa dental humana de las 24 horas postexodoncia índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista Española de Cirugía Oral y Maxilofacial

versión On-line ISSN 2173-9161versión impresa ISSN 1130-0558

Resumen

MINIGUTTI, Marcelo Oscar et al. Pathological fractures of the mandible in elderly patients: a series of 15 cases. Rev Esp Cirug Oral y Maxilofac [online]. 2019, vol.41, n.4, pp.183-188.  Epub 13-Abr-2020. ISSN 2173-9161.  http://dx.doi.org/10.20986/recom.2019.1041/2019.

Introduction:

Pathological fractures of the mandible account for fewer than 2 % of all mandibular fractures and often affect elderly patients. In patients over 65 years of age, these fractures may present features that are different from those observed in the general population because of their association with multiple comorbidities.

Materials and methods:

In this paper, we present a retrospective study of a series of 15 cases of pathological fractures of the mandible. Only patients over 65 years old were included, and the following variables were collected: sex, age, etiology, localization, treatment and postoperative complications. Additionally, we conducted a literature review in PubMed on pathological fractures of the mandible.

Results:

The mean age was 72 years (range 65-85) and 67 % (n=10) were female patients. The most common etiology was medicine-related osteonecrosis of the jaws (40 %). The postoperative complication rate was 53 % (8/15). We identified 24 articles assessing pathological fractures of the mandible in our review of the literature. Only three articles included more than 10 patients. None of them related exclusively to elderly patients.

Conclusions:

In our series, the most frequently encountered etiology was medicine-related osteonecrosis of the jaws. These patients can be treated successfully following the same algorithms used in the general population, albeit the complication rate is high (53 %).

Palabras clave : Pathologic fracture; mandible; elderly; medication-related osteonecrosis of the jaw.

        · resumen en Español     · texto en Español     · Español ( pdf )