ქვედა ყბის ოსტეოპოროზული მოტეხილობა (კლინიკური შემთხვევის აღწერა)

ანოტაცია

Osteoporotic fracture of the mandible is the rarest case of fracture of similar genesis. Based on this, the authors aimed to describe their own clinical case of osteoporotic mandibular fracture. The provoking factor of such a fracture can be the mechanical load of the lower jaw during chewing activity.

The patient, a 54-year-old man, complained of pain in the lower jaw area, disruption of the chewing function, while visiting the clinic. 2 days before going to the clinic, while eating, he felt pain and discomfort in the lower jaw area, which was accompanied by the sensation of abnormal movement of the lower jaw bone. A CT scan of the facial bones revealed a pathological, osteoporotic fracture of the lower jaw bone with dislocation of the fragments. The asymmetry of the face drew attention to the objective examination. Mandibular movement was limited. Examination of the oral cavity revealed a sharp deficiency of the mandibular bone mass, which was manifested in the complete alveolar ridge and significant atrophy of the mandibular body. Pathological movement of fragments was tested in this area by palpation. Due to significant atrophy, the height of the body of the lower jaw did not exceed 8-10 mm along its entire length.

The operation was performed under general anesthesia. Intra- and extraoral approach. After the reposition of the broken fragments, osteosynthesis was performed using a titanium plate. Based on the circumstances that there is a possibility of bone fractures, including repeated fractures of the mandible bone, against the background of the progression of osteoporosis, the patient was advised about the need for complex treatment using antiresorptive and osteoreparative drugs, with the monitoring of relevant specialists in dynamics.