Outcome of Different Treatment Modalities of Fracture Zygoma

Abstract

Objectives: This study aimed to determine the pattern of fractured zygoma, different treatment modalities, and complications of the treatment in our center. It also aimed to determine the association between the treatment modalities and complication of treatment, and association between number of fixation and complication. Methodology: A retrospective review was conducted from January 2008 until December 2011. All patients diagnosed with zygomatic complex fractured that met the inclusion and exclusion criteria were included in the study. Zingg's Classification was used in the study. Results: The median age was 23.5. Type A was the most common fracture type made up 26.6%. About 90.8% of the injury was caused by road traffic accident. Forty-four patients were treated with open reduction and internal fixation and 4 patients were treated with close reduction only. Fifty patients were treated conservatively. Gillies approach in combination with fixation is the most common procedure accounted for 50%. Three-point fixation at infraorbital, maxillary buttress, frontozygomatic suture, and zygomatic arch was the most common site. However, there were no significant associations between the number of fixation and the occurrence of the complication (P = 0.307). About 29.2% in the treatment group and 66% in the conservative group had complications. About 35.7% of patients in treatment group had complications, while 66% had trismus in conservative group. Conclusion: There was a significant association between types of treatment and the occurrence of complication (P = 0.001). However, there were no significant association between number of fixation and the occurrence of complications (P = 0.307).

Unilateral Zygomatic Complex Fracture – A Comparison Between Nonsurgical Treatment and Surgical Treatment

“…In our study, the fractures were mainly caused by motor vehicle accidents. This correlated with other recent local study that reported road traffic accident as the main etiology (90.8%) of ZMC fractures 7 . In the contrary, others found that the ZMC fracture were most often caused by assaults, 8,9 and falls 10 .…”

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

“…In another study, there were no significant association between delay of repair and incidence of postoperative facial asymmetry, trismus but statistically significant associations were found between delay and facial scarring and radiographic outcome [33].…”

Characterization of Infraorbital Nerve Sequelae After Orbital Floor or Zygomaticomaxillary Complex Fractures

“…Several studies have shown, that under some circumstances, the ORIF of a ZMC fracture can improve the prognosis of a neurosensory deficit. 15,[24][25][26] Other studies have shown that neurosensory function in the ION territory is often improved immediately after reduction, closed or open of a displaced ZMC fracture. 10,23 Furthermore, our results show that surgical treated patients exhibited more neurological symptomatology than observational care.…”

“…Our percentages are higher than in this study (48% for CREF, and 100% for ORIF), however, we cannot draw the conclusion in our series about ORIF due to the very limited number of patients. Several studies have shown, that under some circumstances, the ORIF of a ZMC fracture can improve the prognosis of a neurosensory deficit 15,24–26 . Other studies have shown that neurosensory function in the ION territory is often improved immediately after reduction, closed or open of a displaced ZMC fracture 10,23 .…”