Management of orbitozygomatic fractures

Lynham, Anthony; Monsour, F.N.T.; Chapman, Pat J

doi:10.1046/j.1445-2197.2002.02434.x

Cited by 14 publications

(12 citation statements)

References 12 publications

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“…A decisive factor for fracture reduction is the proper exploration and exact alignment of the three buttresses; these are the zygomaticofrontal suture, the zygomaticomaxillary buttress and the infraorbital rim. There is consent that a visualization at all three pillars is not always necessary to ensure an anatomic reduction [7]. Besides, in complex fractures neighbouring bone may be displaced or significantly fragmented, providing no guidance for a proper alignment of the buttresses.…”

Section: Introductionmentioning

confidence: 99%

Image-guided navigation for treatment of complex midfacial fractures

Hoffmann¹,

Westendorff²,

Dammann³

et al. 2005

International Congress Series

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Section: Introductionmentioning

confidence: 99%

Image-guided navigation for treatment of complex midfacial fractures

Hoffmann¹,

Westendorff²,

Dammann³

et al. 2005

International Congress Series

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“…More commonly it occurs as a complication of orbital floor repair or zygomatic fracture reduction and its incidence has been reported to be less than 1% 3,7 . Recently the incidence of retrobulbar haemorrhage following zygomatico-orbital complex fracture reduction by maxillofacial surgeons in Australia has been reported to be as low as 0.1% 6 …”

Section: Introductionmentioning

confidence: 99%

Psychological And Psychosocial Implications Of Head And Neck Cancer

Anderson¹,

Franke²

2002

IJORL

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Retrobulbar Haemhorrage as a complication of zygomatico-orbital floor repair occurs in 0.1% 6 of cases. It can lead to irreversible loss of vision if not accurately identified and rapidly managed. We describe the case of such a patient who underwent urgent lateral canthotomy to decompress the orbit and his subsequent excellent recovery from a potentially sight threatening situation. The clinical diagnosis and management options available are discussed and a short literature review is included.

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“…There is consent that a visualization at all three pillars is not always necessary to ensure an anatomic reduction. 8 Besides, in complex fractures, neighboring bone may be displaced or significantly fragmented, providing no guidance for a proper alignment of the buttresses.…”

mentioning

confidence: 99%

Computer-Assisted Surgical Treatment of Orbitozygomatic Fractures

Westendorff

Gülicher²,

Dammann³

et al. 2006

Journal of Craniofacial Surgery

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Orbitozygomatic fractures pertain to the most common injuries in craniofacial trauma patients. Accurate fracture reduction is of high importance for a successful outcome. This pilot study was performed to assess the potential benefit of surgical navigation to aid in orbitozygomatic fracture reduction. A non-comparative series of five consecutive patients with severely displaced orbitozygomatic fractures was treated using the guidance of computed tomography (CT)-based surgical navigation. Using a previously developed software platform, the fracture was reduced virtually by a three-dimensional shifting of the orbitozygomatic complex within the patient's preoperative multimodal CT data set. This treatment plan was transferred to a navigation system. Fracture reduction was performed according to the treatment plan using surgical navigation. Intraoperative control of fracture reduction by comparing the real with the virtual bone position using surgical navigation showed up as a helpful tool. Accurate treatment planning and immediate evaluation of craniofacial surgery outcome are the benefits of the new approach demonstrated. A major drawback of the presented approach is a high consumption of human and financial resources. A larger clinical series with long-term follow-up will be needed to determine reproducibility and cost-effectiveness. In addition to bone repositioning, a future application may include simulation of craniofacial osteotomies.

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Management of orbitozygomatic fractures

Abstract: Most oral and maxillofacial surgeons treat orbitozygomatic injuries as part of their surgical scope.

Cited by 14 publications

References 12 publications

Image-guided navigation for treatment of complex midfacial fractures

Image-guided navigation for treatment of complex midfacial fractures

Psychological And Psychosocial Implications Of Head And Neck Cancer

Computer-Assisted Surgical Treatment of Orbitozygomatic Fractures

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