A Retrospective Analysis of 101 Zygomatico-Orbital Fractures

Abstract

A 5-year review of 101 cases of zygomatico-orbital fractures is presented. The epidemiology, fracture patterns, treatment modalities, and complications were evaluated in this retrospective study. A majority of fractures were sustained by males and resulted from trauma inflicted during altercations and traffic accidents. The most common fracture pattern was tripod fracture and the most common associated facial fractures were mandibular fractures. Open reduction and rigid fixation was the most frequently employed treatment modality. Depending on the stability of reduced zygoma, one, two and three-point fixations were applied. Orbital floor exploration was performed in 41 cases. Ten out of 16 orbital floor bone defects required reconstruction. In these cases orbital floor was reconstructed with 1.5-mm porous polyethylene implant. Although we encountered a few complications related to the incisions for open reduction, the rate of complication in which correction was difficult (e.g. facial asymmetry) was lower with this approach when compared with the literature.

Maxillofacial injuries and dental trauma in patients aged 19-80 years, Recife, Brazil

“…The etiology of maxillofacial injuries varies from one country to another and even within the same country depending on the prevailing socioeconomic, cultural and environmental factors 3,7,9,11,17 .…”

“…An understanding of the cause, severity and temporal distribution of maxillofacial trauma can assist in establishing clinical and research priorities for effective treatment and prevention of these injuries 17 . Therefore, more evaluation studies should be conducted to assess the physical, social and psychological quality of life for patients affected with maxillofacial trauma.…”

Validity and accuracy of subciliary endoscopic-aided repair of orbital floor fractures

“…Orbital Xoor fractures merit speciWc clinical attention for a number of reasons; failure to recognize and treat them early may result in preventable unwanted sequelae; however, despite early and apparently adequate surgical repair, they may be associated with risk of persisting sensibility disorders, enophthalmos and/or permanent diplopia [3,4].…”

“…Signs and symptoms of orbital Xoor fracture can vary greatly, ranging from being asymptomatic with minimal bruising and swelling, to severe aVection, with diplopia, enophthalmos, hypo-ophthalmia, and hypoesthesia of the cheek and upper gum on the aVected side [3].…”

Clinical Analysis of Midfacial Fractures

“…An understanding of the cause, site, severity and the associated injuries of maxillofacial fractures greatly helps to develop more effective management; however, only a few studies in a relatively large number of patients have focused on midfacial fractures (14)(15)(16)(17)(18)(19)(20).…”