Anatomic, clinical, surgical, and radiographic correlation of the zygomatic complex fracture

Aj, Gerlock; Dp, Sinn

doi:10.2214/ajr.128.2.235

Cited by 15 publications

(7 citation statements)

References 2 publications

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“…Patients with zygomaticomaxil lary fractures can manifest with trismus and flattening of the cheek, unilateral epistaxis, paresthesia or anesthesia of the in fraorbital nerve distribution, unequal pupil heights, and diplopia. 27 3D-reconstructed images assist in defining the overall fracture pattern and degree of displacement and aids preopera tive surgical planning.…”

Section: Zygomaticomaxillary Fracturesmentioning

confidence: 99%

10 maxillofacial traumaMaxillofacial Trauma

Anzai¹,

Fink²

2015

Imaging of Traumatic Brain Injury

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Section: Zygomaticomaxillary Fracturesmentioning

confidence: 99%

10 maxillofacial traumaMaxillofacial Trauma

Anzai¹,

Fink²

2015

Imaging of Traumatic Brain Injury

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“…Kasus fraktur zigoma biasaterjadi padaempat persendian, yaitu infraorbita rim, zigomatikomaksilaris,zigomatiokofrontalis dan arkus zigomatikus. 10 Pada kasus ini persendian yang terlibat adalah regio infraorbita rim yaitu pergeseran fraktur yang tampak secara klinis pada palpasi dan terkonfirmasi dengan pemeriksaan ronsen Water's, 9 CT aksial dan 3D CT.…”

Section: Pembahasanunclassified

“…Penatalaksanaan fraktur zigomatikomaksilaris kompleks terutama terkait reduksi fragmen tulang. 9 Jenis pendekatan bedah sesuai dengan besarnya pergeseran 9 dan lokasi fraktur. 10 Pada kasus ini, teknikreduksi fraktur dilakukan denganORIF sesuai indikasi penatalaksanaan kasus fraktur zigoma yang melibatkan fraktur pada regio infraorbita rim, yaitu dengan open reduction.…”

Section: Pembahasanunclassified

“…Fraktur terisolasi di dasar orbita,infraorbita rim dan dinding anterior sinus maksilaris menunjukkan manifestasi klinis berupa parestesi atau anestesi. 9 Menurut klasifikasi cedera saraf perifer,berdasarkan tingkat defisit fungsionalnya kasus ini merupakan parestesi.…”

Section: Pembahasanunclassified

“…5,7 Tindakan bedah berupa reposisi fragmen fraktur ke posisi anatomis membantu menghilangkan tekanan pada n.infraorbitalis.Parestesi padadistribusi nervus infraorbita seringkali masih terjadi pasca operasi untuk beberapa waktu.Reposisi dari fragmen tulang hingga tidak ada lagi jepitan pada n.infraorbitalis meningkatkan pemulihannya. 9 Defisit neurologis mengalami pemulihansecaratotal pada bulan kelima pascaoperasi.…”

Section: Pembahasanunclassified

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Parestesi pada fraktur kompleks zigomatikomaksilaris Paresthesia in zygomaticomaxillary complex fractures

Bernado¹,

Prihartiningsih²,

Rahajoe³

2013

J Dentomaxillofac Sci

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Head trauma cases can involve os.zygoma and maxilla. Injury to the nerves is one of the complications that can beencountered as a result of the fracture fragments shift. This paper reported one case of n.infraorbitalis paresthesiafollowing zygomaticomaxillary complex fracture. A 30 years old man was referred to the Department of Oral Surgery,Dr.Sardjito Hospital with a history of traffic accident two weeks before admission. The patient complained of rightcheek area feels numbness, bite changed and there was a protrusion of bone under his right eye. Clinical examinationfound paresthesias of right n.infraorbitalis, left posterior open bite, and bone displace at right infraorbital rim. At theWater's x-ray and 3D CT scan visualized fractures involving the right maxillary and infraorbital rim. Open reductioninternal fixation (ORIF) zygomaticomaxillary complex fracture, with miniplate supported by arch bar as a device toachieve individually normal occlusions, was performed under general anesthesia. Postoperative follow up indicateparesthesia symptoms gradually decreased and totally recover within 5 months. Prognosis for this case was bonam. Itwas concluded that ORIF with miniplate, combined with mounting arch bar can support paresthesia correction due tothe displacing of fracture fragment zygomaticomaxillary complex.

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