Spontaneous fractures of the mandible concept & treatment strategy
Identifieur interne : 000D01 ( Main/Exploration ); précédent : 000D00; suivant : 000D02Spontaneous fractures of the mandible concept & treatment strategy
Auteurs : Anja Carlsen ; Mette MarcussenSource :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2015.
Abstract
Spontaneous fractures of the mandible dispose a surgical challenge in comparisons to fractures caused by trauma due to several complicating factors. Additionally: controversies exist concerning the terminology of the field.
We conducted a retrospective study of all patients with mandibular fractures, with exclusion of fractures of the coronoid process and the alveolar process, treated at the Department of Oral and Maxillofacial Surgery, Aalborg University Hospital, Denmark between February 2003 and February 2013. Data collected from the medical records included sex, age, cause of fracture, site of fracture, and treatment.
We identified 517 patients with 684 mandible fractures. Twenty-five of these were spontaneous fractures and 659 fractures were of traumatic origin. Condylar fractures rarely occur spontaneously, but constitute the majority of the traumatic fractures. Excluding these fractures from the analysis, we found a non-surgical approach in 14 of 24 (58%) of the spontaneous fractures and 110 of 376 (29%) of the traumatic fractures. This was statistically significant.
We found a statistical significant difference in favor of non-surgical approach in spontaneous fractures and we discussed the treatment challenges of these fractures. We addressed the terminological controversies regarding pathological fractures, and suggested the term spontaneous fractures denoting a fracture occurring during normal jaw function being either pathological or non-pathological.
Url:
DOI: 10.4317/medoral.20716
PubMed: 26636905
PubMed Central: 4765750
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Spontaneous fractures of the mandible concept & treatment strategy</title><author><name sortKey="Carlsen, Anja" sort="Carlsen, Anja" uniqKey="Carlsen A" first="Anja" last="Carlsen">Anja Carlsen</name><affiliation><nlm:aff id="A1">DDS. Resident in oral and maxillofacial surgery. The Department of Oral and Maxillofacial Surgery, Aalborg University Hospital</nlm:aff><wicri:noCountry code="subfield">Aalborg University Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Marcussen, Mette" sort="Marcussen, Mette" uniqKey="Marcussen M" first="Mette" last="Marcussen">Mette Marcussen</name><affiliation><nlm:aff id="A2">DDS. PhD. Student & surgeon in oral and maxillofacial surgery. The Department of Clinical Medicine, Aalborg University Hospital</nlm:aff><wicri:noCountry code="subfield">Aalborg University Hospital</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26636905</idno><idno type="pmc">4765750</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765750</idno><idno type="RBID">PMC:4765750</idno><idno type="doi">10.4317/medoral.20716</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000733</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000733</idno><idno type="wicri:Area/Pmc/Curation">000733</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000733</idno><idno type="wicri:Area/Pmc/Checkpoint">000A71</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000A71</idno><idno type="wicri:Area/Ncbi/Merge">006195</idno><idno type="wicri:Area/Ncbi/Curation">006195</idno><idno type="wicri:Area/Ncbi/Checkpoint">006195</idno><idno type="wicri:doubleKey">1698-4447:2015:Carlsen A:spontaneous:fractures:of</idno><idno type="wicri:Area/Main/Merge">000D03</idno><idno type="wicri:Area/Main/Curation">000D01</idno><idno type="wicri:Area/Main/Exploration">000D01</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Spontaneous fractures of the mandible concept & treatment strategy</title><author><name sortKey="Carlsen, Anja" sort="Carlsen, Anja" uniqKey="Carlsen A" first="Anja" last="Carlsen">Anja Carlsen</name><affiliation><nlm:aff id="A1">DDS. Resident in oral and maxillofacial surgery. The Department of Oral and Maxillofacial Surgery, Aalborg University Hospital</nlm:aff><wicri:noCountry code="subfield">Aalborg University Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Marcussen, Mette" sort="Marcussen, Mette" uniqKey="Marcussen M" first="Mette" last="Marcussen">Mette Marcussen</name><affiliation><nlm:aff id="A2">DDS. PhD. Student & surgeon in oral and maxillofacial surgery. The Department of Clinical Medicine, Aalborg University Hospital</nlm:aff><wicri:noCountry code="subfield">Aalborg University Hospital</wicri:noCountry></affiliation></author></analytic><series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title><idno type="ISSN">1698-4447</idno><idno type="eISSN">1698-6946</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Spontaneous fractures of the mandible dispose a surgical challenge in comparisons to fractures caused by trauma due to several complicating factors. Additionally: controversies exist concerning the terminology of the field.</p></sec><sec><title>Material and Methods</title><p> We conducted a retrospective study of all patients with mandibular fractures, with exclusion of fractures of the coronoid process and the alveolar process, treated at the Department of Oral and Maxillofacial Surgery, Aalborg University Hospital, Denmark between February 2003 and February 2013. Data collected from the medical records included sex, age, cause of fracture, site of fracture, and treatment.</p></sec><sec><title>Results</title><p>We identified 517 patients with 684 mandible fractures. Twenty-five of these were spontaneous fractures and 659 fractures were of traumatic origin. Condylar fractures rarely occur spontaneously, but constitute the majority of the traumatic fractures. Excluding these fractures from the analysis, we found a non-surgical approach in 14 of 24 (58%) of the spontaneous fractures and 110 of 376 (29%) of the traumatic fractures. This was statistically significant.</p></sec><sec><title>Conclusions</title><p>We found a statistical significant difference in favor of non-surgical approach in spontaneous fractures and we discussed the treatment challenges of these fractures. We addressed the terminological controversies regarding pathological fractures, and suggested the term spontaneous fractures denoting a fracture occurring during normal jaw function being either pathological or non-pathological.</p><p><bold>Key words:</bold>Mandibular fractures, spontaneous fractures, pathological fractures, traumatic fractures, treatment.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Coletti, D" uniqKey="Coletti D">D Coletti</name></author><author><name sortKey="Ord, Ra" uniqKey="Ord R">RA Ord</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ezsias, A" uniqKey="Ezsias A">A Ezsiás</name></author><author><name sortKey="Sugar, Aw" uniqKey="Sugar A">AW Sugar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Boffano, P" uniqKey="Boffano P">P Boffano</name></author><author><name sortKey="Roccia, F" uniqKey="Roccia F">F 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