Management of Zygomatic Complex Fractures in a Tertiary Hospital: A Retrospective Study

Menon, Suresh; Sinha, Ramen; Thapliyal, G. K.; Bandyopadhyay, Tapas

doi:10.1007/s12663-011-0199-8

Cited by 11 publications

(13 citation statements)

References 17 publications

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“…This neurosensory deficit was evaluated by two-point discrimination test. The incidence of infraorbital nerve paresthesia varies from 35 to 94 % of all the zygomatic complex fractures [25]. In our study, three patients (5 %) had neurosensory deficit, the value being low as compared to the studies of Ahmed et al (91.73 %) [26].…”

Section: Percentagecontrasting

confidence: 54%

Ophthalmological Evaluation by a Maxillofacial Surgeon and an Ophthalmologist in Assessing the Damage to the Orbital Contents in Midfacial Fractures: A Prospective Study

Patil¹,

Kotwal²,

Joshi³

et al. 2015

J. Maxillofac. Oral Surg.

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Background and purpose Midfacial fractures may often be associated with injuries to the orbit which may lead to notable dysfunction of the visual apparatus, if not detected early after injury. The purpose of this study is to evaluate the associated ophthalmic injuries in mid-face trauma and to emphasize the need for understanding the ophthalmic signs and symptoms by an attending maxillofacial surgeon. Patients and methods A total number of 60 clinically and radiographically proven subjects with midfacial fractures were considered in the study that underwent complete ophthalmological evaluation at initial presentation. Referral to ophthalmologist was considered to determine the exact nature of injury and its implications. Results by a maxillofacial surgeon and ophthalmologist were evaluated. Results In our study, a male predominance with a mean age of 32 years was observed, with the most common etiology being Road Traffic Accidents. Forty-two of the 60 patients exhibited sub-conjunctival hemorrhage accounting for 70 % of ocular injuries recorded. While 28 of the 60 patients displayed peri-orbital edema (53.3 %), 8 patients experienced diplopia (13.32 %) and 8 patients showed relative afferent pupillary defect (13.32 %). Conclusion From our study, it becomes imperative that the maxillofacial surgeon should have a thorough knowledge of the various ophthalmic injuries that could occur in association with midfacial trauma in order to prevent visual complications to the patient. Understanding of the subtle injuries to the ocular apparatus which may be undiagnosed by a maxillofacial surgeon but have significant grave outcomes is essential.

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Section: Percentagecontrasting

confidence: 54%

Ophthalmological Evaluation by a Maxillofacial Surgeon and an Ophthalmologist in Assessing the Damage to the Orbital Contents in Midfacial Fractures: A Prospective Study

Patil¹,

Kotwal²,

Joshi³

et al. 2015

J. Maxillofac. Oral Surg.

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“…6,7,10 The peak incidence of maxillofacial injuries was in the age group 21 to 30 years which was in concordance with all the other studies. 1,[6][7][8][9][10][11][12][13] This is because of the increased use of vehicles and travel in the third decade of life. The most common etiological factor for maxillofacial injuries is road traffic crashes in our country.…”

Section: Discussionmentioning

confidence: 99%

“…In studies by Obuekwe et al and Menon et al, the incidence of zygoma fractures were 18% and 31.7% respectively. 13,20 Of the 37 fractures of the zygoma, arch fractures were the commonest (62.1%). In a study by Adam et al, body of zygoma was commonly fractured (57.7%) followed by combined fractures and isolated arch fractures.…”

Section: Discussionmentioning

confidence: 99%

Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center

Jayaraju¹,

Sagayaraj²,

Reddy³

et al. 2014

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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Background and objectives: Road traffic crashes are reported to be the leading cause of maxillofacial fractures in developing countries. The large variability in reported incidence and etiology is due to a variety of contributing factors, including environmental, cultural and socioeconomic factors. The study aims at describing the patterns of maxillofacial fractures in road traffic crashes by clinical and radiological methods and to study the complications associated with these fractures. Materials and methods:The study included 100 road traffic crash patients with maxillofacial injuries. Patients were evaluated for any maxillofacial fracture by clinical assessment and, radiologically, using plain radiographs and computed tomography scan. Results:Midfacial skeleton was more prone to fractures. Isolated fractures of the maxilla was the commonest (58%) followed by nasal bone fractures (43%). Among the complex fractures, Le Fort type II was the commonest. Mandibular fractures were seen in 33% of the patients, parasymphysis being the commonest site. Majority of the patients had associated soft tissue injuries. The incidence of complications associated with maxillofacial fractures was 11%, malocclusion being the commonest. Conclusion:Maxillofacial fractures are commoner in the mobile population in the most productive age group, more so in two wheeler riders causing significant morbidity and mortality. Midface region is more prone to fractures and is most of the time associated with complications.

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“…Different protocols have been proposed for the site of fixation and points of fixation of iZMC fragments. These range from no fixation to one-point fixation, [4] two-point fixation [14] and even three-point fixation. [15] In this study, 7 patients underwent two-point fixation, and 4 patients underwent three-point fixation.…”

Section: Discussionmentioning

confidence: 99%

“…[4,14,16] In this study, bone plates were removed in two patients due to dehiscence of the oral wounds. No other significant complications were noted.…”

Section: Discussionmentioning

confidence: 99%

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

Datta¹,

Harit²,

Grewal³

2014

Plast Aesthet Res

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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.

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Management of Zygomatic Complex Fractures in a Tertiary Hospital: A Retrospective Study

Cited by 11 publications

References 17 publications

Ophthalmological Evaluation by a Maxillofacial Surgeon and an Ophthalmologist in Assessing the Damage to the Orbital Contents in Midfacial Fractures: A Prospective Study

Ophthalmological Evaluation by a Maxillofacial Surgeon and an Ophthalmologist in Assessing the Damage to the Orbital Contents in Midfacial Fractures: A Prospective Study

Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center

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

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