Surgical approaches and fixation patterns in zygomatic complex fractures.

نویسندگان

  • Sergio Olate
  • Sergio Monteiro Lima
  • Renato Sawazaki
  • Roger Willian Fernandes Moreira
  • Márcio de Moraes
چکیده

The aim of this research was to analyze the surgical approaches and methods of rigid fixation used to treat zygomatic complex (ZC) fractures over a 10-year period. One hundred fifty-three patients who underwent surgery to treat ZC fractures between 1999 and 2008 were retrospectively evaluated. Demographic information, signs, and symptoms of the fractures, classification, surgical approaches, and methods of internal fixation were obtained from the medical records. The data were analyzed using statistical descriptive analysis and chi test (P < 0.05). The mean age of the sample was 31 years, and males were predominant (82.3%). In 60.1% of the patients, one surgical approach was used to treat the ZC fractures, whereas 2 surgical approaches were used in 24.8% of the patients. The zygomaticomaxillary buttress was fixed in 86.9% of the patients, followed by infraorbital rim fixation and zygomaticofrontal. There was a statistical significance between fracture displacement and surgical approach for the infraorbital rim (P < 0.0001) and zygomaticofrontal suture (P < 0.0001). Considering that adequate reduction and fixation should be performed and that we try to minimize the amount of scarring, the intraoral zygomaticomaxillary buttress approach is the first choice to treat ZC fractures. In cases of displacement bigger than 5 mm, approaches to 3 of 4 points of the ZC are mandatory to reduce the fractures. The infraorbital rim and zygomaticofrontal suture approaches are indicated to treat displaced fractures.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Lag screw fixation of a nonstable zygomatic complex fracture: case report.

Fractures of the zygomatic complex and their treatment have been the focus of much attention in the last 30 years. Treatment frequently depends on the surgical findings, experience, and discretion of the surgeon. Treatment of zygomatic complex (ZMC) fractures often requires stabilization at the frontozygomatic (FZ) suture. Frodel’ and Marentette’ have described the use of lag screw fixation of ...

متن کامل

Surgical Methods of Zygomaticomaxillary Complex Fracture

BACKGROUND Zygoma is a major buttress of the midfacial skeleton, which is frequently injured because of its prominent location. Zygoma fractures are classified according to Knight and North based on the direction of anatomic displacement and the pattern created by the fracture. In zygomaticomaxillary complex (ZMC) fracture many incisions (lateral eyebrow, lateral upper blepharoplasty, transconj...

متن کامل

Prospective blind comparative clinical study of two point fixation of zygomatic complex fracture using wire and mini plates

BACKGROUND The zygomatic maxillary complex (ZMC) fractures are one of the most frequent injuries of the facial skeleton due to its position and facial contour. Assaults, road traffic accidents and falls are the principal etiologic factors that may cause fractures of zygomatic bone. The different fixation methods are applied to treat the zygomatic bone fractures, with many more classifications w...

متن کامل

Treatment of Zygomatic Complex Fractures Using Two Point Fixation under General Anaesthesia

To evaluate the advantages and efficacy of two point mini plate fixation for the zygomatic complex fractures using lateral eye brow and infra orbital approaches for fixing the fronto zygomatic fracture and infra orbital fracture. The zygomatico-maxillary complex functions as the principle buttress of the face and is the cornerstone to an individual’s aesthetic appearance. The zygomatic complex ...

متن کامل

Changing strategies in the treatment of maxillofacial fractures at thrace region: open vs closed reduction.

OBJECTIVE We aimed to analyze etiological factors in patients with maxillofacial trauma, treatment modalities, complications related to surgical approaches and the changing patterns in over time. MATERIALS AND METHODS A total of 126 patients diagnosed as maxillofacial fractures between August 1998 and June 2012 were investigated in Corlu State Hospital, Ear Nose Throat and Plastic Surgery Cli...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Journal of craniofacial surgery

دوره 21 4  شماره 

صفحات  -

تاریخ انتشار 2010