Pathologic Fracture of Jaw in Unicystic Ameloblastoma Treated With Marsupialization

Abstract

Pathologic fractures may occur when a bone has been weakened by an underlying pathologic process. The treatment depends on the etiology. We report on a patient with pathologic fracture in the jaw caused by unicystic ameloblastoma. The lesion was subjected to marsupialization, and the size of the radiolucent lesion decreased. The fracture was consolidated by bone regeneration. For the remaining tumor, a secondary surgery was performed with enucleation followed by spray cryosurgery using a combination of propane, butane, and isobutane gases. The patient showed no signs of recurrence during the 3-year period after the second surgical procedure.

Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature

“…[ 9 ] Marsupialization is supported as a presurgical treatment for UA by many researchers. [ 10 11 12 13 14 15 16 17 18 19 ] Some studies that mainly investigate efficacy of marsupialization on cystic lesions supported marsupialization for UA. [ 20 21 22 ] Prasad et al treated 5 cases with UAs with decompression in which decompression period range between 3 months and 24 months.…”

Modified “Dredging Method” for complicated solid/multicystic ameloblastoma in the mandible: Report of a case treated by fractionated enucleation

“…If we applied this original method in the present case, fractures could be expected to easily occur after the enucleation of the whole of the lesion especially in the ascending ramus containing a honeycombed lesion. Pathologic fractures related to treatment of benign lesions of the jaw have been reported [11,12]. To avoid such fractures we developed the modified "Dredging Method" reported here which includes the fractionated enucleation of large ameloblastoma (Fig 3A).…”