Successful conservative management of pathological mandibular fracture resulting from chronic osteomyelitis in a 90-year-old woman.

Autor: Ryutaro Ono, Takeshi Amemiya, Toshiro Yamamoto, Narisato Kanamura
Zdroj: Oral Science International; Jan2023, Vol. 20 Issue 1, p42-47, 6p
Abstrakt: Background: We report the successful conservative management of a pathological mandibular fracture resulting from chronic osteomyelitis in a super-elderly patient. Case Presentation: A 90-year-old woman was admitted because of an external dental fistula with purulent drainage. Radiographs showed extensive bone destruction in the mandible. Long-term antibiotic therapy and chin cap immobilization resulted in satisfactory bone healing 1 year after treatment initiation, which suggests that a conservative approach is alternative or complementary to surgical resection for a mandibular fracture, especially in older patients at high risk of severe postoperative complications. Conclusion: As the population ages, the number of such cases will rise; therefore, minimally invasive therapeutic strategies must be developed. [ABSTRACT FROM AUTHOR]
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