The Zygomatic Arch as a Guide to Reconstruction of Comminuted Malar Fractures

Stanley, Robert B.

doi:10.1001/archotol.1989.01860360061018

Cited by 78 publications

(30 citation statements)

References 5 publications

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“…The advocates of three point fixation base their contention on the fact that a tripod is a minimum requirement for stability [12], also since the zygomatic complex fracture has been described as a quadripod fracture recommendations to rigidly fix the same at the four points i.e. the frontozygomatic region, the infraorbital region, the zygomatic buttress and the zygomatico-sphenoid region has also been advocated [17]. However with 'minimization' being the watchword in current clinical practice [3] two point fixation of the zygomatic complex fractures is becoming the preferred treatment modality which is producing satisfactory results in most cases baring those fractures which are grossly comminuted and displaced and are deemed unstable with two points of fixation.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of two point rigid internal fixation in the management of zygomatic complex fracture

Chakranarayan

Thapliyal

Sinha

et al. 2009

J. Maxillofac. Oral Surg.

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Purpose To evaluate the efficacy of two point rigid internal fixation in the immobilization of zygomatic complex fractures. Patients and methods 30 patients with zygomatic complex fractures were managed by open reduction and internal fixation using titanium mini bone plate screws at the frontozygomatic and zygomatic buttress region. This prospective study was carried out at the Department of Oral & Maxillofacial Surgery, Armed Forces Medical College (AFMC), Pune, India between 1st August 2005 to 1st August 2007. Isolated unilateral zygomatic complex fractures of less than six weeks duration were included in the study. Result Clinically and radiologically satisfactory results were achieved in all 30 patients using two point rigid internal fixation at the frontozygomatic and zygomatic buttress region of zygomatic complex fracture. Conclusions Stable fixation and immobilization of isolated zygomatic complex can be achieved with two point fixation using titanium mini bone plate and screws at the frontozygomatic and zygomatic buttress region of zygomatic complex fracture. Postoperative complications like scarring, ectropion and neurological deficit can be avoided by not using infraorbital rim as the third point of fixation.

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Section: Discussionmentioning

confidence: 99%

Efficacy of two point rigid internal fixation in the management of zygomatic complex fracture

Chakranarayan

Thapliyal

Sinha

et al. 2009

J. Maxillofac. Oral Surg.

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“…1,2 Therefore, for both cosmetic and functional reasons, it is imperative that zygomatic arch injuries be properly and fully diagnosed, and adequately treated. 2 Plain films and CT have their place in determining the type, location, magnitude and direction of displacement of zygomatic arch fractures. The submentovertex (SMV) view, which is traditionally used as the first step in the diagnosis of zygomatic arch fractures, has its own limitations ( Figure 1a).…”

Section: Introductionmentioning

confidence: 99%

Comparison of ultrasonography with submentovertex films and computed tomography scan in the diagnosis of zygomatic arch fractures

Nezafati

Javadrashid²,

Rad³

et al. 2010

Dentomaxillofacial Radiology

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Objectives: The aim of this study was to compare ultrasonography with CT scan and submentovertex films in the visualization of zygomatic arch fractures. Methods: 17 patients, 10 men and 7 women, with suspected fracture of the zygomatic arch were studied. The data from CT and plain films were compared with the ultrasonographic findings (Aloka 3500 (Tokyo, Japan) ultrasound equipment with a 7.5 MHz transducer). The probe was situated over the fractured arch transversely to evaluate its whole length. All of the sonograms were taken and interpreted by the same sonologist, who was not aware of the results of the CT and the plain films. Results: Ultrasound was accurate in assessing the fractured arches with sensitivity of 88.2% (15 of the 17 patients, with two false negatives) and specificity of 100% (no false positives). Conclusion: Ultrasound is accurate in the visualization of zygomatic arch fractures and can be used as an adjunct to plain films to reduce the overall radiation exposure.

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“…By restoring correct midfacial width at the level of the arch, we assure proper midfacial projection and transverse width. Thus the zygomatic arch is the key to establishing midfacial width at the subcranial level (11). Allowing the arch to bow outward during reduction, rather than passing directly posteriorly from the body of the zygoma to the zygomatic process of the temporal bone, creates increased facial width and decreased facial projection.…”

Section: Can J Plast Surg Vol 3 No 2 Summer 1995mentioning

confidence: 99%

Sagittal fractures of the palate: A new method of treatment

Wells¹,

Oishi²

1995

CAN J PLAST SURG

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MD Wells, S Oishi, M Sengezer. Sagittal fractures of the palate: A new method of treatment. Can J Plast Surg 1995;3(2):87-92. A new technique is described for stabilizing complex vertical fractures of the maxilla. Advantageous use of the comminuted fracture pattern of the maxillary buttresses allows the maxilla to be divided into two parts at the Le Fort I level. With intermaxillary fixation applied, stabilization is achieved by applying miniplate fixation to the nasal side of the hard palate. The maxilla is reduced to the previously stabilized anterior midfacial buttresses with plates and screws. Comminuted segments of defects in the anterior buttresses are replaced with contoured calvarial grafts. This method has the advantage of maintaining transverse palatal width in a rigid fashion without the need for further osteotomies. It has satisfactorily restored preinjury occlusal relationships in six patients, without the need for dental splints. In no instance has hardware extrusion occurred after fixation.

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The Zygomatic Arch as a Guide to Reconstruction of Comminuted Malar Fractures

Cited by 78 publications

References 5 publications

Efficacy of two point rigid internal fixation in the management of zygomatic complex fracture

Efficacy of two point rigid internal fixation in the management of zygomatic complex fracture

Comparison of ultrasonography with submentovertex films and computed tomography scan in the diagnosis of zygomatic arch fractures

Sagittal fractures of the palate: A new method of treatment

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