Steimann Pin Repair of Zygomatic Complex Fractures

Salinas, Jonathan B.; Vira, Darshni; Hu, David; Elashoff, David; Abemayor, Elliot; John, Maie St.

doi:10.4236/ijohns.2013.22018

Cited by 4 publications

(5 citation statements)

References 25 publications

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“…Many studies have shown that young adult males were commonly affected. [ 6 10 8 ] Two hundred and thirteen (86%) patients were male and 32 (10%) patients were female [ Table 1 ]. Ninety-eight (40%) patients had left side and 147 (60%) had right sided fractures.…”

Section: Resultsmentioning

confidence: 99%

“…However, three-point wire fixation was only slightly less stable. [ 8 ] Mixing wires with miniplates reduced the stability in proportion to the number of wires used. Minimal increases in stability were added using three-point miniplate fixation when compared to two-point miniplate fixation, regardless of the application site.…”

Section: Discussionmentioning

confidence: 99%

“…[ 4 5 6 ] Earlier studies listed traffic accidents as the major etiological factor of maxillofacial injuries. [ 7 8 ] The relative contribution of these factors varies from region to region. [ 5 6 ] The ZMC fractures present a challenging diagnostic and reconstructive task to the surgeon.…”

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confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2015

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“…They concluded that it is a desirable approach for undisplaced zygomatic fractures due to its simple, effective, and cosmetically acceptable results. In 2013, Salinas et al 15 treated 23 patients with zygomaticomaxillary complex fractures using a closed reduction method with Steinmann-pin fixation. They compared their outcomes (reduction and esthetic) with those of patients who underwent open reduction and internal fixation (ORIF) techniques.…”

Section: Closed Methods Of Reduction and Fixationmentioning

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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“…Zhang et al (2018) reported comparable mean age of 33.6±11.4 years in Chinese such patients [14] while Ogata et al (2013) reported it to be 39.8±17.0 years in Japan [15]. Salinas et al (2013) observed it to be 40.3±7.9 years in such patients in USA [16].…”

Section: Discussionmentioning

confidence: 92%

Comparison of Infra Orbital Nerve Outcome in Zygomaticomaxillary Complex Fractures Treated Surgically and Conservatively

Ullah¹,

Khan²,

Hammad³

et al. 2022

PJMHS

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Introduction: Zygomaticomaxillary complex fractures are second most common facial injuries. These fracture are managed either by open reduction with rigid fixation or conservatively. Objective: To compare infra orbital nerve outcome in zygomaticomaxillary complex fractures treated surgically and conservatively. Methodology: The current randomized controlled trial study was carried out at Oral and Maxillofacial Surgery Department, Sandeman Provincial Hospital/Bolan Medical College Quetta from 23/04/2018 to 22/10/2018 after the synopsis approval. Total sample size calculated was 100. 50 patients in Group-A were treated by open reduction and internal fixation technique and 50 patients in Group-B were managed conservatively without any intervention. All the data was recorded in a specialized proforma for this study. Data analysis was done by SPSS. Results: The overall mean age (SD) of the patient’s was 36.2±7.1 years. Most of the patients (n=64, 64.0%) were 31-45 years old. The male patients in our study were 65 (65.0%) whereas female participants were 35 (35.0%). For detection of mechanical threshold, the patients proportion with sensations at 3cm filament length was significantly lower in patients who underwent surgical treatment (78.0% vs. 100.0%; p-value<0.001) as compared to the participants managed conservatively. It was also lower significantly at 5cm and 7cm for Group-A in comparison to Group-B (p-value≤0.05). For detection of heat threshold, the patients proportion with sensation at 32°C was no different between Group-A and Group-B (p-value=0.529). However, proportion of patients with sensations at 35oC (64.0% vs. 100.0%; p-value<0.001) and 37oc (90.0% vs. 100.0%; p-value=0.022) was lower significantly in surgically treated patients. Pain threshold detection was significantly lower in patients who underwent surgical treatment (1.26±0.44 vs. 1.58±0.49; p-value<0.001) in comparison to conservative treatment. Conclusion: In patients with zygomaticomaxillary complex fractures, infra orbital nerve outcome was superior in patients managed conservatively than those treated with open reduction and internal fixation which advocates evading unnecessary intervention in such cases in future practice. Keywords: Zygomaticomaxillary Complex Fractures, Conservative Treatment, Infra Orbital Nerve

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Steimann Pin Repair of Zygomatic Complex Fractures

Cited by 4 publications

References 25 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

Zygomaticomaxillary buttress and its dilemma

Comparison of Infra Orbital Nerve Outcome in Zygomaticomaxillary Complex Fractures Treated Surgically and Conservatively

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