Clinical Findings

Clinically the oral mucosa covering the alveolar ridge was mostly intact and unaffected except for a small ulcer with a small fistula.  The skin covering the mandible, however, showed a large fistula which oozed pus for a period of 6 months.  Radiographic findings were significant for large pieces of bony sequestra in the posterior mandible surrounded by irregular radiolucency, with a mandibular fracture (Fig 2). The patient experienced pain that required many analgesic drugs. The CT-scan supported the radiographic findings of the panoramic view.

Figure 2. This is a panoramic radiograph demonstrating a large and ill-defined radiolucent radiopaque lesion in the right posterior mandible with a pathologic fracture and bony sequestration.