Classification and treatment of zygomatic fractures: A review of 1,025 cases

Zingg, Markus; Laedrach, Kurt; Chen, Joseph; Chowdhury, Khalid; Vuillemin, Thierry; Sutter, F; Raveh, Joram

doi:10.1016/0278-2391(92)90266-3

Cited by 291 publications

(188 citation statements)

References 30 publications

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“…And traditionally, Knight and North (1961), Larsen and Thomsen (1978), Kristensen and Tveterås (1986) and Zingg et al (1992) classified the zygomatic fractures based on examination of plain radiographic films or intraoperative findings. However, regardless of the group of the classifications, Rohrich et al (1992) and Convington et al (1994) mentioned that 3-point fixation with steel wire is performed in almost all cases of zygomatic fractures.…”

Section: Introductionmentioning

confidence: 99%

A New Classification of Zygomatic Fracture Featuring Zygomaticofrontal Suture: Injury Mechanism and a Guide to Treatment

Ogata¹,

Sakamoto²,

Kishi³

2013

PSIJ

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The researchers establish a new classification system for zygomatic fractures based on computed tomography and mechanism of injury, which could be used to inform treatment options.Patients treated for isolated zygomatic fracture at the Keio University Hospital between 2004 and 2011 were recruited for this study. The cases were classified into 4 types based on the fracture pattern of the zygomaticofrontal suture and inferior orbital rim.In total, 113 patients aged 16 to 82 years (mean age (SD) = 39.8 (17.0) years), including 74 men and 39 women, were analyzed. Overall, 54 patients had shear fractures and 59 patients had greenstick type fractures. In both shear and greenstick fractures, the ratio of medial type fractures was significantly higher than that of lateral type fractures (p < 0.001). Furthermore, the number of shear type fractures in those <20 years old was lower than that in other age groups (p < 0.05).In conclusion, this classification is an epoch-making classification based on the mechanism of facial injury, and may be used to inform treatment options to achieve optimal biomechanical stability.

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Section: Introductionmentioning

confidence: 99%

A New Classification of Zygomatic Fracture Featuring Zygomaticofrontal Suture: Injury Mechanism and a Guide to Treatment

Ogata¹,

Sakamoto²,

Kishi³

2013

PSIJ

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“…Rigid fixation techniques have gained popularity because they offer greater, versatility in the treatment of ZMC fractures. Rohrich and Wattumull [17] retrospectively evaluated 85 patients treated with mini plates or wires. They arrived at the conclusion that mini plate fixation produced better malar projection as well as fewer ocular and infraorbital nerve complications.…”

Section: Delayed and Malformed Zmc Fracturesmentioning

confidence: 99%

Zygomaticomaxillary Complex Fractures: A Review of 101 Cases

Yamsani

Gaddipati

Vura

et al. 2015

J. Maxillofac. Oral Surg.

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Aim ZMC fractures are the common facial injuries. The main causes of fractures are trauma due to RTAs, assaults, falls, sports related injuries, and the civilian warfares. This study is to evaluate and review the etiology, incidence, clinical findings and treatment of ZMC fractures. A sincere effort has been put forward in the management of ZMC fractures and their efficacy is evaluated in the larger interest of the patients. Materials and methods In this study 101 patients having displaced ZMC fractures with insignificant medical history were reviewed to evaluate the versatility of its management, with the main emphasis on post operative stability, restoration of mouth opening, wound healing, esthetic restoration of the prominence of cheek and the complications encountered. Results A total of 101 patients were reviewed for the management of ZMC fractures. All the cases included were managed during the period from

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“…Zingg et al (1992) report that a fixation in two points is enough for ZMC fractures stabilization. Nevertheless, Fain et al (1981) obtained success in the conduction of fixation in only one point of the frontozygomatic suture, because this is the area where the tension forces act directly.…”

Section: Introductionmentioning

confidence: 99%

“…The literature on ZMC fracture treatments is conflicting regarding the need of fractures fixation after their surgical reduction. Zingg et al (1992) report that the determinant factor to define the best treatment will be trans-surgical, when it is possible to verify the degree of instability of the fracture. With the advent of the rigid internal fixation warranting options for better fracture management (Fonseca & Walker, 1997), several researches were conducted relating the degree of instability with the amount of fixed points (O'Sullivan et al).…”

Section: Introductionmentioning

confidence: 99%

Radiographic and Clinical Evaluations of the Zygomatico-maxillary Complex Fractures Treated by 2.0 Miniplates System

Bassi¹,

Gealh²,

Pereira³

et al. 2014

Int. J. Odontostomat.

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ABSTRACT:The zygomaticomaxillary complex (ZMC) is the second highly incidental of facial fractures. According to the anatomical complexity, there are many reports in the literature about this trauma, mainly related to treatment for these fractures. With the purpose of evaluating clinically and radiographically the stability of unilateral zygomatic fractures treated by surgical reduction and fixed in two points by stable internal fixation, this research was proposed. Twenty patients with zygomatic fractures were evaluated and compared with twenty nonfractured patients. The results showed that there were no statistically significant differences among the obtained data, perimeter and area, of the treated and contra-lateral sides of the experimental group. When compared to the control group the differences were not statistically significant. We also performed a comparison of the distance between the nasal bone and zygomatic prominence in all groups the results were also satisfactory.

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Classification and treatment of zygomatic fractures: A review of 1,025 cases

Cited by 291 publications

References 30 publications

A New Classification of Zygomatic Fracture Featuring Zygomaticofrontal Suture: Injury Mechanism and a Guide to Treatment

A New Classification of Zygomatic Fracture Featuring Zygomaticofrontal Suture: Injury Mechanism and a Guide to Treatment

Zygomaticomaxillary Complex Fractures: A Review of 101 Cases

Radiographic and Clinical Evaluations of the Zygomatico-maxillary Complex Fractures Treated by 2.0 Miniplates System

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