Management of Zygomatic Complex Fracture in Armed Forces

Chattopadhyay, P. K.; Chander, M.

doi:10.1016/s0377-1237(09)80124-x

Cited by 11 publications

(10 citation statements)

References 11 publications

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“…[ 3 5 15 18 19 ] The key to management of facial trauma is to operate the cases as soon as clinical conditions permits with a special emphasis on function and esthetics. [ 24 ]…”

Section: Discussionmentioning

confidence: 99%

Management of tripod fractures (zygomaticomaxillary complex) 1 point and 2 point fixations: A 5-year review

et al. 2015

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The zygomaticomaxillary complex (ZMC) plays a key role in the structure, function, and esthetic appearance of the facial skeleton. They can account for approximately 40% of mid-face fractures. They are the second most common facial bone fracture after nasal bone injuries. The fracture complex results from a direct blow to the malar eminence and results in three distinct fracture components that disrupt the anchoring of the zygoma. In addition, the fracture components may result in impingement of the temporalis muscle, trismus (difficulty with mastication) and may compromise the infraorbital foramen/nerve resulting in hypesthesia within its sensory distribution. A 4-year retrospective review of all patients treated with ZMC fractures at oral and maxillofacial surgery department, sree balaji dental college and hospital was performed. Computed tomography scans were reviewed. Demographics, treatment protocols, outcomes, complications, reoperations, and length of follow-up were identified. A total of 245 patients was identified by the Current Procedural Terminology codes for ZMC fractures. Closed or open reduction methods were performed with the goal of treatment being preservation of normal facial structure, sensory function, globe position, and mastication functionality. Unacceptably poor surgical outcomes are uncommon. Significant facial asymmetry requiring surgical revision occurs in 3-4% of patients. Postoperative infection rates are extremely low, and these infections nearly always resolve with oral antibiotics. In general, the long-term prognosis after repair of ZMC fractures is very good.

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“…[ 3 5 15 18 19 ] The key to management of facial trauma is to operate the cases as soon as clinical conditions permits with a special emphasis on function and esthetics. [ 24 ]…”

Section: Discussionmentioning

confidence: 99%

Management of tripod fractures (zygomaticomaxillary complex) 1 point and 2 point fixations: A 5-year review

et al. 2015

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“…The zygomatic bone has a prominent position in the maxillofacial skeleton and shares a significant 527 portion of the orbital floor, lateral wall of the orbit, the zygomatic arch and the malar eminence. Its prominence has the ability to absorb the burden of facial injuries and so the zygomatic fractures are the second most common hospitalized maxillofacial fractures after the mandibular fractures [1,2].…”

Section: Introductionmentioning

confidence: 99%

Epidemiological Study of Zygomatic Fractures: A Five-Year Retrospective Analysis in a Single Hospital Experience

Ali

2020

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: Zygomatic complex and arch fractures remain one of the most common maxillofacial fractures. Epidemiological studies of theses fractures vary by geographic region, socioeconomic, environmental and cultural factors. Its importance is confirmed by their implication in the clinical practice and prevention.Patients and Methods: Five-year retrospective study; from May 2015 to April 2020; was conducted on 120 patients with zygomatic fractures in our department. Fracture sites were classified into five types (I-V) based on the number of fractured processes and comminution. Data collected in a clinical sheet and analyzed using Statistical Package for Social Sciences version 20. p-value <0.05 was considered significant. Chi square test was used to compare between 2 or more qualitative variables.Results: Patients aged from 15-78 years old and divided into 4 age groups (A-D). Group B (21-40 years) was the commonest affected. Males were predominant than females with ratio M: F = (7:1). Motor car accidents was the commonest etiology of trauma (56.60%). Left sided fracture (52.5%) was involved more than right sided one (45%) and fracture was bilateral in 2.5% of cases. Type-IV fracture (classic tetrapod) was the commonest type reported (42 cases, 35%). Most common fractured process was zygomatic-maxillary buttress (ZM) in 90 cases (75%). Mandibular fracture (15%) was the most common associated facial fractures. Most common accessed approach was the upper buccal in 80 cases (66.6%). Access through a preexisting wound was encountered in 10 cases (8.3%). Four-point fixation (40%) was the commonest point fixation for these fractures. Infra orbital paresthesia (42 cases) was the most common complications encountered. Conclusion:Zygomatic fractures have high morbidity and cost of life. Use of protective devices, strict laws and severe punishments must be implemented to reduce its frequency.

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“…This was a common finding in many of the previous studies which revealed that most of the patients of zygoma fracture were between 21-30 years of age. 11,12 The high incidence in third decade of life might be due to the fact that people belonging to this age group are more practical, active and energetic. Moreover, they take active participation in sports and outdoor activities and also involved in violence.…”

Section: Discussionmentioning

confidence: 99%

Etiologies of zygomatic bone fracture at a tertiary care hospital of South Punjab, Pakistan

Khan¹,

Shaikh

Rana

et al. 2020

Int J Res Med Sci

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Background: Fracture of the zygomatic bone is a frequent maxillofacial trauma, due to its distinction which influences it to bear the brunt of facial trauma but its pattern seems to vary geographically. This study was planned to find out etiologies of zygomatic bone fracture at a tertiary care hospital of South Punjab, Pakistan.Methods: This descriptive observational study was conducted at The Department of Oral and Dental Surgery, Shaikh zayed Medical College Hospital Rahim Yar Khan, Pakistan, from July December 2017. A total of 114 patients with isolated tripod zygomatic bone fracture were enrolled. Demographic characteristics of the patients along with etiologies of zygomatic bone fracture were recorded.Results: Out of a total of 114 patients having zygomatic bone fractures, there were 85 (74.6%) male. Majority of the patients, 58 (50.9%) were aged between 21 to 30 years, 78 (68.4%) belonged to rural areas, 42 (36.8%) laborers while socio-economic class of 66 (57.9%) patients was recorded to be middle income. Road traffic accidents were the commonest, seen among 48 (42.1%) patients followed by inter-personal violence and falls, noted among 26 (22.8%) and 17 (14.9%) patients respectively.Conclusions: Zygomatic bone fractures were most commonly seen among male gender and young age groups. Road traffic accidents and inter-personal violence were the most commonly noted etiologies in the present study.

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Management of Zygomatic Complex Fracture in Armed Forces

Cited by 11 publications

References 11 publications

Management of tripod fractures (zygomaticomaxillary complex) 1 point and 2 point fixations: A 5-year review

Management of tripod fractures (zygomaticomaxillary complex) 1 point and 2 point fixations: A 5-year review

Epidemiological Study of Zygomatic Fractures: A Five-Year Retrospective Analysis in a Single Hospital Experience

Etiologies of zygomatic bone fracture at a tertiary care hospital of South Punjab, Pakistan

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