Spontaneous fracture of the mandibular genial tubercles. A case report.
Identifieur interne : 006623 ( Main/Curation ); précédent : 006622; suivant : 006624Spontaneous fracture of the mandibular genial tubercles. A case report.
Auteurs : Lorena Gallego ; Luis Junquera ; Pedro Villarreal ; Juan Carlos De VicenteSource :
- Medicina oral, patologia oral y cirugia bucal [ 1698-6946 ] ; 2007.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Fractures mandibulaires, Fractures spontanées.
- étiologie : Fractures mandibulaires, Fractures spontanées.
- Femelle, Humains, Mâchoire édentée, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- MESH :
- complications : Jaw, Edentulous.
- diagnosis : Fractures, Spontaneous, Mandibular Fractures.
- etiology : Fractures, Spontaneous, Mandibular Fractures.
- Aged, 80 and over, Female, Humans.
Abstract
Fracture of the mandibular genial tubercles is an uncommon pathology affecting edentulous patients with severe maxillary atrophy. Usually occurs spontaneously which complicates the diagnosis. Their importance lies in the functional alterations, which occur as a consequence of the disinsertion of the genihyoid and genioglossus muscles. The treatment of fracture of the genial tubercles is controversial, including no surgical intervention, excision of the avulsed bone fragments, and muscular repositioning. There have been only 11 cases reported in the literature of this fracture, most of them spontaneous. We present a difficult diagnosis situation of spontaneous fracture of the genial tubercles in an 86-year-old edentulous female with a painful sublingual and submental hematoma and anterior cervical echimosis. Computerized Tomography should be made to confirm the diagnosis. Surgical treatment was not necessary, and follow-up at 6 months revealed complete symptomatic recovery, and full return of function.
PubMed: 18059247
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Lorena Gallego<affiliation><nlm:affiliation>Residente de Cirugía Oral y Maxilofacial.</nlm:affiliation>
<wicri:noCountry code="no comma">Residente de Cirugía Oral y Maxilofacial.</wicri:noCountry>
</affiliation>
Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Spontaneous fracture of the mandibular genial tubercles. A case report.</title>
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<series><title level="j">Medicina oral, patologia oral y cirugia bucal</title>
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<term>Female</term>
<term>Fractures, Spontaneous (diagnosis)</term>
<term>Fractures, Spontaneous (etiology)</term>
<term>Humans</term>
<term>Jaw, Edentulous (complications)</term>
<term>Mandibular Fractures (diagnosis)</term>
<term>Mandibular Fractures (etiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Femelle</term>
<term>Fractures mandibulaires (diagnostic)</term>
<term>Fractures mandibulaires (étiologie)</term>
<term>Fractures spontanées (diagnostic)</term>
<term>Fractures spontanées (étiologie)</term>
<term>Humains</term>
<term>Mâchoire édentée ()</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Fractures, Spontaneous</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Fractures mandibulaires</term>
<term>Fractures spontanées</term>
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<term>Mandibular Fractures</term>
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<term>Fractures spontanées</term>
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<term>Humans</term>
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<term>Humains</term>
<term>Mâchoire édentée</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front><div type="abstract" xml:lang="en">Fracture of the mandibular genial tubercles is an uncommon pathology affecting edentulous patients with severe maxillary atrophy. Usually occurs spontaneously which complicates the diagnosis. Their importance lies in the functional alterations, which occur as a consequence of the disinsertion of the genihyoid and genioglossus muscles. The treatment of fracture of the genial tubercles is controversial, including no surgical intervention, excision of the avulsed bone fragments, and muscular repositioning. There have been only 11 cases reported in the literature of this fracture, most of them spontaneous. We present a difficult diagnosis situation of spontaneous fracture of the genial tubercles in an 86-year-old edentulous female with a painful sublingual and submental hematoma and anterior cervical echimosis. Computerized Tomography should be made to confirm the diagnosis. Surgical treatment was not necessary, and follow-up at 6 months revealed complete symptomatic recovery, and full return of function.</div>
</front>
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