The Effectiveness of 1-Point Fixation for Zygomaticomaxillary Complex Fractures

Kim, Ji Heui; Lee, Jun Ho; Hong, Seok Min; Park, Chan Hum

doi:10.1001/archoto.2012.1815

Cited by 50 publications

(54 citation statements)

References 8 publications

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“…Amongst the cases of one-point fixation, 90% (n = 19) had fixation at the ZM buttress, 5% (n = 1) at the FZ suture and 5% (n = 1) at the IOM. Some literature supports the ZM buttress as the first choice for one-point fixations, with it providing sufficient stability, without the need for fixation at the FZ site, whilst some studies advocate FZ suture as the first choice, claiming that greater stability and immobilisation can be achieved at the FZ suture [4,11,13,19,20] . Of note, none of the literature reviewed advocated the IOM as the first choice location for one-point fixation.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

Surgical management of zygomatic complex fractures in a major trauma centre

Bradley¹,

Leung²,

Saxena³

et al. 2019

PAR

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show abstract

“…This is consistent with other reports. 40,41 In conclusion, road traffic accident has been responsible for most of the zygomatico-maxillary complex fractures in our geographical area. Most of these fractures were low energy fractures and hence the displacement was also minimal.…”

Section: Journal Of International Medicine and Dentistry 2016; 3(3): mentioning

confidence: 83%

3. Zygomatico-maxillary complex fractures: A retrospective study on etiology, pattern and management

Kalappa¹,

B²,

Kumaran³

et al. 2016

JIMD

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Abstract:The aim of the study was to record the etiology, pattern and management of zygomatico-maxillary complex (ZMC) fractures seen in two centres in Mysore and to compare the findings with other studies in literature. A fifteen year retrospective study involving 123 patients with ZMC fractures were selected from a pool of 219 patients who sustained maxillofacial fractures during the period under study. The age distribution, gender distribution, etiology, associated injuries, associated maxillofacial fractures, clinical features, distribution of radiographic investigation, radiographic findings associated with ZMC Fractures, pattern of fractures and various modalities of management and surgery were recorded. In this study, 86.17% were males and 13.83% females. Most (39.02%) patients were aged 21-30 years. There was highly significant association between road traffic accidents and ZMC fractures. (Chi square value 291.512, P < 0.001). The most frequently associated maxillofacial fracture was nasal bone fracture (28.45%). Circumorbital edema was the commonest clinical feature (88.61%); Keene's approach was the commonest method of zygoma elevation (78%). Two point internal fixation was commonly used (46.83%). Among two point fixation, frontozygomatic suture and zygomatico-maxillary suture were commonly plated (64.86%). Among one point internal fixation, zygomatico-maxillary suture was most commonly plated (40.74%). This study has shown that road traffic accidents have been responsible for most of the ZMC fractures in our geographical area and two point fixation at zygomatico-maxillary suture and fronto-zygomatic suture has been the commonest method of fixation and Keene's approach has been the choicest method for elevation of zygoma.

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“…6). However, the use of anything less than 3-point fixation for orbitozygomatic fractures remains controversial, and 2-point fixation is specifically contraindicated for cases in which reconstruction of the internal orbit is indicated [39].…”

Section: B Ct Of Posttraumatic Defects Of the Orbital Skeleton After mentioning

confidence: 99%

Postoperative CT of the Orbital Skeleton After Trauma: Review of Normal Appearances and Common Complications

Reiter

Schwope

Theler

2016

American Journal of Roentgenology

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The goal of surgery is to restore the preinjury orbital anatomy to improve function and prevent enophthalmos. Radiologists need to be cognizant of the more frequently encountered operative procedures used for orbital fracture repair, the desired goals of treatment, and common complications. This will permit accurate interpretation of postoperative CT and provide surgeons with clinically useful results.

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The Effectiveness of 1-Point Fixation for Zygomaticomaxillary Complex Fractures

Abstract: Our findings suggest that 1-point fixation at the ZMB provides sufficient stability of the zygomaticomaxillary complex without comminuted fractures of the lateral orbital rim.

Cited by 50 publications

References 8 publications

Surgical management of zygomatic complex fractures in a major trauma centre

Surgical management of zygomatic complex fractures in a major trauma centre

3. Zygomatico-maxillary complex fractures: A retrospective study on etiology, pattern and management

Postoperative CT of the Orbital Skeleton After Trauma: Review of Normal Appearances and Common Complications

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