Case history for mandibular fracture case study
From: Joseph A. Z.
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Objectives: The purpose of this case-control study was to determine whether the radiographic appearance of the mandibular cortical bone in patients who were elderly and noninstitutionalized was related to a self-reported history of osteoporotic fractures. Study design: Patients who had a billing statement at the School of Dentistry dated between and , who were older than 60, and who had a panoramic radiograph were invited to be interviewed regarding fracture history circumstances and year of fracture and risk factors for osteoporosis. Blinded to case-control status, we evaluated the mandibular cortex on a panoramic radiograph and classified them as normal even and sharp endosteal margin , moderately eroded evidence of lacunar resorption or endosteal cortical residues , or severely eroded unequivocal porosity. In addition, cortical thickness was measured below the mental foramen. Results: After adjustment for potentially confounding factors, the odds ratio for an osteoporotic fracture associated with moderately eroded and severely eroded mandibular cortices was 2.
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You work in a rural hospital with minimal resources and poor access to subspecialty services. At 2 AM, a year-old male presents to your emergency department with complaints of jaw pain after being punched in the face by several assailants just prior to arrival. According to EMS report, there is substantial swelling over his left lower jaw. He does not have evidence of trauma elsewhere. Are there any exam maneuvers to help me make this decision? What imaging modality should I use to confirm the diagnosis?
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Daniel C. Distant metastasis to the jaws, including the maxilla or mandible, is very rare. Although the mandible is the preferred sight of these rare metastases, it is extremely rare for oral cavity malignancies to present as pathological mandibular fractures. Here, we present a case of esophageal adenocarcinoma metastasizing to the mandible, and the first reported case presenting with a pathological mandibular fracture secondary to esophageal adenocarcinoma. We also review the 9 other reported cases of metastatic esophageal adenocarcinoma to either the maxilla or mandible.
Scientific Research An Academic Publisher. A recent trend in researching complex modern problems has required interdisciplinary collaboration in order to develop solutions. This is the case in the problem facing maxillofacial surgeons who have relied heavily on trial and error methods for repairing mandibular fractures. Open reduction and internal fixation is the most frequent treatment for mandibular fractures . Fixation of fractured mandibular bone segments is primarily of a structural nature involving various material properties, each exhibiting different mechanical responses i.
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