Management of isolated zygomaticomaxillary complex fractures with an individualized approach: a retrospective study

Abstract

Aim: Fractures of the zygomatico maxillary complex (ZMC) are commonly seen after traumatic injuries to the facial skeleton. The aim of the study was to review the outcome of individualized treatment approach in the management of isolated ZMC fractures. Methods: A retrospective analysis of 25 patients was conducted to assess the outcomes of isolated ZMC (iZMC) fracture treatment at a multi specialty hospital (Punjab, India) over a 3-year period. Results: Out of the 25 patients reviewed, 4 patients required no surgical intervention and 21 patients underwent surgical reduction via the buccal sulcus approach. An individualized treatment plan was formulated for each patient to decide mini plate fixation at one-two-or three-point with or without orbital rim exploration. Two patients required removal of mini plates from the buttress area on postoperative follow up. Conclusion: Our review shows that an individualized treatment approach produces the most favorable results in the management of iZMC fractures.

Isolated Zygomatic bone fracture: assessment of outcome by two point fixation.

“…5 However, in many places, either road traffic accidents was consistently the main contributing factor in developing countries. 6 Industrial, Sports injuries, fall and FAI (Fire Arm Injury) and inter personal violence are other causes. 7 The fracture of the zygomatic bone can cause restricted mouth opening due to impingement on the coronoid process.…”