Fractured genial tubercles

Youngs, Robin; Albert, Dyna

doi:10.1017/s0022215100147978

Cited by 13 publications

(6 citation statements)

References 3 publications

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“…There have been a number of cases of fractured genial tubercles reported in the literature; these can be divided into two broad groups: those who are typically older, edentulous, denture‐wearing patients with an atrophic mandible , and a younger group with a history of significant maxillofacial trauma and associated mandibular fracture. Our patient is typical of the first group and has a severely resorbed mandible as can be seen in a dental panoramic tomogram which was taken 3 years prior to the current problem (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the fact the genioglossus muscle is attached to the superior genial tubercle, there is little, if any limitation of movement of the tongue in the long term, although pain on movement has been reported as a short term problem, and some patients have experienced limitation of movement in the short term. The most significant complication reported is that of Ryan et al ,.…”

Section: Introductionmentioning

confidence: 87%

“…There are a small number of case reports in the literature describing fracture and displacement of the genial tubercles associated with denture‐related trauma. Management is generally conservative with no long‐term complications; however, there have been cases where the fractured bone fragments have been electively removed or re‐attached.…”

Section: Introductionmentioning

confidence: 99%

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Fractured and displaced genial tubercles: a case report

2014

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An edentulous woman presented with pain, swelling and ulceration in the anterior floor of mouth; the findings on clinical examination suggested the presence of an anteriorly placed salivary calculus with trauma to the overlying soft tissues from the mobile lower denture. Radiographic examination, however, revealed fracture and displacement of the genial tubercles. The patient was managed conservatively and all symptoms subsequently settled.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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Fractured and displaced genial tubercles: a case report

2014

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“…Five of the 15 previously reported cases (33%) were treated surgically to remove the bony fragment from the oral floor under general or local anaesthesia. Surgery was indicated for diagnostic purposes in three cases, to prevent the bony fragment from chronically irritating the surrounding soft tissues in one case, and due to the patient's severe discomfort in other case.…”

Section: Discussionmentioning

confidence: 99%

“…Isolated spontaneous fracture of the genial tubercles, with no associated mandible fracture, is an uncommon condition. To date, only 15 cases have been described in 14 reports in the English literature, in patients with a mean age of 70 years and with a female gender prevalence [2][3][4][5][6][7][8][9][10][11][12][13][14][15] . Three other publications refer to combined fractures of the mandibular symphysis and genial tubercle [16][17][18] .…”

Section: Introductionmentioning

confidence: 99%

Spontaneous genial tubercle fracture: management of a rare condition and literature review

et al. 2015

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The aim of the study was to report on a case of isolated spontaneous fracture of the genial tubercles, an uncommon pathological condition, the onset of which may be associated with non‐specific but potentially life‐threatening signs and symptoms, such as haematoma or swelling of the oral floor. We conducted a literature review to identify similar cases, focusing on their diagnosis, management and causes. To date, only 15 cases of spontaneous genial tubercle fracture have been described in 14 reports in the English medical literature. Patients were mainly female, with a mean age of 70 years. Only 5/15 cases (33%) were managed surgically, the others (66%) conservatively. A full functional recovery of the tongue movements, swallowing and talking is achievable with conservative therapy in most cases, but surgery is indicated for patients with persistent dysfunction or clinical discomfort. The case described here was treated conservatively, consistently with the literature, with active observation, corticosteroids and prophylactic i.v. antibiotic therapy leading to a complete recovery within a few weeks. Though extremely uncommon, genial tubercle fracture should be included in the differential diagnosis of haematoma and swelling of the oral floor. It is potentially life‐threatening, requiring active monitoring and careful airway management. Conservative procedures and a long‐term follow‐up are needed to control possible functional restrictions and symptoms, and surgical treatment should be considered in refractory cases.

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