One point fixation of zygomatic tripod fractures in the zygomatic buttress through Keen′s intraoral approach: A review of 30 cases

Dakir, Abu; Muthumani, T; Prabu, N.P.; Mohan, Rakesh; Maity, Abhishek

doi:10.4103/0975-7406.155934

Cited by 17 publications

(25 citation statements)

References 12 publications

(14 reference statements)

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“…Open reduction of zygomatic complex fractures solely by an intraoral surgical approach has previously been described in the literature [9 -17]. Thirty patients with zygomatic complex fractures were treated with an intraoral approach and one point fixation at the zygomaticomaxillary buttress [16]. Clinical and radiographic evaluation disclosed no paresthesia, pain or cosmetic disfiguration after six months.…”

Section: Discussionmentioning

confidence: 99%

Treatment of zygomatic complex fractures with surgical or nonsurgical intervention. a retrospective study

Starch‐Jensen

Linnebjerg

Jensen

2019

International Journal of Oral and Maxillofacial Surgery

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Evaluate the 1-year treatment outcome of zygomatic complex fractures with surgical or nonsurgical intervention. Materials and Methods: One hundred and forty-two consecutive patients with a zygomatic complex fracture were enrolled. Sixty-eight patients underwent surgical intervention and 74 patients nonsurgical intervention. The 1-year examination evaluated cosmetic and functional outcome including malar symmetry, ocular motility, occlusion, mouth opening, neurosensory disturbances, and complications. Results: Forty-six patients allocated to surgical intervention responded to the 1-year follow-up examination. Satisfying facial contour and malar alignment was observed in 45 patients. All patients presented with identical position of the eye globe without enophthalmos and normal ocular movement. A habitual occlusion was seen in all patients with a mean interincisal mouth opening without pain of 49 mm. One patient presented with minor ectropion. Wound infection occurred in five patients. Persistent infraorbital neurosensory disturbance was described by 19 patients. The 1-year radiographic examination showed adequate fracture alignment in all patients with satisfying facial contour. However, dissimilar position of the orbital floor was seen in three patients having orbital reconstruction. None of the patients were re-operated or needed secondary correction of the zygomatic complex or orbital floor. Conclusion: Surgical intervention is an effective treatment modality of depressed zygomatic complex fractures, whereas a nonsurgical approach is often used for nondisplaced fractures. Most zygomatic complex fractures can be treated solely by an intraoral approach and rigid fixation at the zygomaticomaxillary buttress. Further exposure of the zygomaticofrontal junction or inferior orbital rim is necessary for severely displaced fractures, which require additional fixation.

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Section: Discussionmentioning

confidence: 99%

Treatment of zygomatic complex fractures with surgical or nonsurgical intervention. a retrospective study

Starch‐Jensen

Linnebjerg

Jensen

2019

International Journal of Oral and Maxillofacial Surgery

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“…Some researchers have found that non-comminuted tripod fractures with mild or no displacement can be stabilized with a single-point fixation in the FZ area, without any diplopia or enophthalmos. The zygoma provides the attachment point for muscles of mastication and facial animation, and it withstands the forces of contraction of the masseter muscle 41 . Fujioka et al 42 demonstrated that 1-point fixation gives 3-point alignment and rigidity for non-comminuted fractures.…”

Section: Open Methods Of Reduction and Fixation: Surgical Approacmentioning

confidence: 99%

Zygomaticomaxillary buttress and its dilemma

Malaviya

Choudhary

2018

J Korean Assoc Oral Maxillofac Surg

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Zygomatic fractures are the second most common fractures of the facial skeleton, after nasal bone fractures. Due to its uniqueness, the malar bone plays a very important role in maintaining appropriate facial contours. Zygomatic fractures can cause ocular and mandibular functional impairment, along with cosmetic defects. With the help of advanced imaging techniques and various treatment options, the management of zygomatic fractures has become more sophisticated and less invasive. This article discusses zygomatic fractures in detail: their clinical and radiographic features, and the various treatment options available.

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“…The incidence of ZMC fractures varies with geographical location, socioeconomic trends, and incidence of road traffic collisions (RTCs), alcohol abuse and drug abuse [4] . A number of studies had shown ZMC fractures to be the second most common facial fracture, after nasal bone or mandible fractures [3][4][5][6] . Common causes of ZMC fractures include interpersonal violence (15%-64.5%), RTCs (13.9%-49%), as well as falls, occupational accidents, and sport-related injuries [3,7,8] .…”

Section: Introductionmentioning

confidence: 99%

“…An intact zygoma (or zygomatic bone) and its surrounding bony anatomy are essential for maintaining facial contour, such as cheek prominence, as well as orbital integrity [5] . Anatomically, the zygoma is attached to the frontal bone (via the frontozygomatic suture), the maxilla (via the zygomaticomaxillary suture), the squamous part of the temporal bone (via the zygomaticotemporal suture) and the sphenoid bone (via the zygomaticosphenoid suture) [ Figure 1] [6] . Fractures that involve the zygoma often occur at these four suture sites, leading to a "tetrapod" fracture pattern, known as a "zygomatic complex fracture" (ZMC).…”

Section: Introductionmentioning

confidence: 99%

Surgical management of zygomatic complex fractures in a major trauma centre

Bradley¹,

Leung²,

Saxena³

et al. 2019

PAR

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Aim: To analyse the epidemiology, aetiology, and surgical management of zygomatic complex (ZMC) fractures in our major trauma centre, and to compare the number and location of fixation points and surgical access in our patient cohort with the literature. Methods: Retrospective analysis of all operative cases (Open Reduction and Internal Fixation) of zygomatic complex fractures over a one year period (2016). Results: A greater proportion of patients in our cohort (54%) were treated with one-point fixation compared to the literature, with the zygomaticomaxillary (ZM) buttress being the most popular fixation point (90%). ZM buttress and frontozygomatic (FZ) suture were the commonest choices for two-point fixations (70%). Buccal sulcus incision was used for ZM access in all cases. For FZ access, upper blepharoplasty incision was the most common (56%). For infra-orbital margin access, transconjunctival incision was the most common (75%). There was no significant association between number of fixation points and presence of associated injuries, impact of injury, or time to operation. There were no post-operative complications. Conclusion: A greater proportion of patients in our cohort were successfully treated with one point fixation compared to the literature, and fewer patients underwent orbital floor exploration and repair in our cohort compared to the literature. This study highlights the ongoing variation in the surgical management of ZMC fractures.

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One point fixation of zygomatic tripod fractures in the zygomatic buttress through Keen′s intraoral approach: A review of 30 cases

Cited by 17 publications

References 12 publications

Treatment of zygomatic complex fractures with surgical or nonsurgical intervention. a retrospective study

Treatment of zygomatic complex fractures with surgical or nonsurgical intervention. a retrospective study

Zygomaticomaxillary buttress and its dilemma

Surgical management of zygomatic complex fractures in a major trauma centre

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