Optimizing the Surgical Management of Zygomaticomaxillary Complex Fractures

Lee, Edward I.; Mohan, Kriti; Koshy, John C.; Hollier, Larry H.

doi:10.1055/s-0030-1269768

Cited by 81 publications

(85 citation statements)

References 35 publications

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“…Postoperative diplopia and enophthalmos are the most troubling complications (11). Complications such as epistaxis, paresthesia, or hypoesthesia of the infraorbital nerve, enophthalmos, step formation at the inferior orbital rim, periorbital ecchymosis, and subconjuncti- (28).…”

Section: Discussionmentioning

confidence: 99%

“…Zygomatic fractures rank second after nasal fractures among the mid-face fractures (8)(9)(10). Although previous studies have reported different incidence rates for zygomatic fractures, a study on the adult population demonstrated that approximately 17% of facial traumas involved zygomatic fractures (11). Most previous studies have reported higher prevalence of zygomatic fractures in males and in the second and third decades of life (4:1 male/female ratio) (12).…”

Section: Introductionmentioning

confidence: 99%

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Zygomatic Fractures: A 10-Year Retrospective Epidemiological Study

Mohajerani¹,

Sadeghi²,

Montazemi³

et al. 2017

Avicenna J Dent Res

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Zygomatic Fractures: A 10-Year Retrospective Epidemiological Study

Mohajerani¹,

Sadeghi²,

Montazemi³

et al. 2017

Avicenna J Dent Res

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“…Fractures of the ZMC most commonly occur due to assault and motor vehicle accidents. [4] The most common cause of iZMC was motor vehicle accidents in our sample. Bogusiak and Arkuszewski [5] found a higher incidence of assaults in their review of ZMC fractures in the Polish population.…”

Section: Discussionmentioning

confidence: 78%

“…However, displaced fractures require surgical reduction and stabilization. [3,4] In this study, 21 out of 25 patients required surgical intervention. Majority of the patients in this study had middle-energy fractures which are similar to those reported by other authors.…”

Section: Discussionmentioning

confidence: 82%

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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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The orbit: A re‐appraisal of the surgical landmarks of the medial and lateral walls

Yoon

Pather²

2016

Clinical Anatomy

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The anterior ethmoidal foramen (AEF) and posterior ethmoidal foramina (AEF and PEF, respectively) on the medial wall and the cranio-orbital foramen (COF) on the lateral wall are used as landmarks in orbital surgeries. In surgery these foramina, the neurovascular structures they transmit and other orbital structures in close proximity need to be identified to minimise their risk of damage. Despite the clinical importance, the current understandings lack consistency in the precise location, microanatomy and morphology of the foramina. This study therefore aimed to document and analyze the microanatomy, location, and morphometric relations of the EF and COF to determine a standardized guideline to accessing the foramina. One hundred dry orbits were morphometrically analyzed, and a further six orbits were micro-dissected to determine the locations of the EF and COF. The orbital size dimensions were measured for each dry orbit and correlated with the morphometric distances. A complete morphometric and quantitative analysis showed the distances of the EF and COF to be variable, with greater variations observed in the incidence of the accessory EF and PEF distances in the medial wall, and in the presence of the COF and the accessory COF in the lateral orbital wall. Significant correlations were observed between the length of the medial orbital wall and some EF distances. This study is the first to suggest a standardized method of locating these foramina in the orbit irrespective of population and sex differences, in order to help improve clinical applications in crucial orbital surgeries. Clin. Anat. 29:998-1010, 2016. © 2016 Wiley Periodicals, Inc.

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Optimizing the Surgical Management of Zygomaticomaxillary Complex Fractures

Cited by 81 publications

References 35 publications

Zygomatic Fractures: A 10-Year Retrospective Epidemiological Study

Zygomatic Fractures: A 10-Year Retrospective Epidemiological Study

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

The orbit: A re‐appraisal of the surgical landmarks of the medial and lateral walls

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