An unusual bilateral pathological fracture

Area of Science:

• Oral and Maxillofacial Surgery
• Pathology
• Radiology

Background:

• Pathological fractures of the mandible are uncommon, often associated with underlying pathology.
• Bilateral fractures are exceedingly rare, presenting unique diagnostic and management challenges.

Observation:

• A patient presented with bilateral pathological mandibular fractures.
• The right mandibular fracture involved an area of *Bacteroides* osteomyelitis.
• The left mandibular fracture occurred through a large cementifying fibroma replacing the mandibular body.

Findings:

• The study highlights the diverse etiologies of pathological mandibular fractures.
• Demonstrates the potential for both infectious and neoplastic processes to weaken mandibular bone integrity.
• Illustrates a unique case of simultaneous bilateral mandibular fracture from distinct pathological causes.

Implications:

• Emphasizes the importance of thorough diagnostic workups for mandibular fractures, considering both infectious and neoplastic conditions.
• Informs surgical planning and treatment strategies for complex bilateral mandibular fractures.
• Contributes to the understanding of rare mandibular pathologies and their complications.