Evaluation of Intra Ocular Pressure in Zygomatico Maxillary Complex Fractures

Sharma, Rohit; Chhabra, Naveen; Sharma, Parveen; Chhabra, Shruti

doi:10.1007/s12663-013-0614-4

Cited by 6 publications

(10 citation statements)

References 30 publications

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“…In our study pre-operatively there was elevated Intraocular Pressure of affected eye, which could be due to pre-operative subconjuctival hemorrhage, retrobulbar hemorrhage, circumorbital edema and ecchymosis and diplopia. Kuye OF et al 2020 [18] and Sharma R et al (2015 [9] also obtained the same results. According to Dongmei H at al 2007 [19] when anatomy of orbit is disrupted, soft tissue of the orbit can herniate into the displaced fragments, creating a trapdoor like effect.…”

Section: Discussionsupporting

confidence: 52%

“…elevation in intraocular pressure may be due to stimulation of the central ends of the vagus nerve which cause the release of substances that elevate blood pressure. Sharma R et al 2015 [9] also observed similar results.Then the signi cant decrease in IOP was observed in both the groups between 24 hours to 7 days post-surgery. Sharma R et al 2015 [9] and Paton et al 2006 [20] also reported the similar trend of IOP in their studies.…”

Section: Discussionmentioning

confidence: 55%

“…Intraocular pressure: It was measured by using Schiotz Indentation Tonometer. The normal intraocular pressure ranges from 10-20 mmHg [9].It was measured preoperatively, post-operatively, within 24 hrs after the surgery, after 1 week and after one month from the surgery.…”

Section: Methodsmentioning

confidence: 99%

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Analysis of Gillies Temporal approach vs Towel Clip method for reduction of Zygoma Fractures

Tiwari,

Gupta,

Roy

2024

Preprint

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Purpose- The purpose of this study was to analyse Gillies Temporal approach Vs Towel Clip method for reduction of zygoma fractures. Method- A randomised comparative study was conducted on 30 patients having zygoma fractures confirmed with pre-operative NCCT face with 3 D reconstruction. Patients were divided into 2 groups, Group-1- Gillies temporal approach and Group-2- Towel clip method. Clinical observations were recorded in a predesigned proforma for all the patients and analysed statistically. Results- Gillies Temporal Approach significantly p<0.001 took longer time for reduction than Towel Clip Method. Post-operative pain was experienced more in Group 1 than Group 2. Intraocular pressure was compared at different time intervals and significant difference was noted. Also, Occulocardiac reflex was observed in Group 1. Mean trismus index was 16.87±5.12 mm in Group 1 and 13.33±4.11 mm in Group 2 preoperatively which significantly increased to 51.93 mm in Group 1 and 51.73 mm in Group 2 one month post-op. Reduction was maintained post-operatively with good quality of outcome in both the groups. Conclusion- Non-comminuted zygomatic complex fractures can be effectively treated using Towel Clip Method as this method is cost-effective, minimally invasive, safe, causing minimum or no damage to soft tissue and easy to perform based on surgeon’s skill and requires less operating time, proving it equally efficient method with excellent aesthetic outcomes.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 55%

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Analysis of Gillies Temporal approach vs Towel Clip method for reduction of Zygoma Fractures

Tiwari,

Gupta,

Roy

2024

Preprint

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“…Exposure keratitis was also seen in one ZMC case. In the cases taken up for open reduction and internal fixation of ZMC fractures, there was no statistically significant difference between the heart rate pre-operatively and at the time of reduction of the fracture, indicating that was no significant change in the heart rate (bradycardia secondary to oculocardiac reflex during reduction of ZMC fractures) which is due to the anesthetic agents and the local infiltration of adrenaline that is given [29].…”

Section: Discussionmentioning

confidence: 95%

A Clinical Study of the Evaluation and Assessment of the Etiology and Patterns of Ocular Injuries in Midfacial Trauma in a Tertiary Care Hospital

Umarane¹,

Kale²,

Tenagi³

et al. 2020

Cureus

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The aim is to study the pattern of ocular injuries in midfacial trauma and to evaluate the overall incidence of ophthalmic injury of any severity following maxillofacial trauma. Methods and Materials The maxillofacial surgeon conducted routine facial examination of patients with midfacial fractures, which also included a detailed ophthalmologic examination of patients, at the time of initial presentation. These patients were then further evaluated by an ophthalmologist for thorough examination of the eye. Results The total number of recorded midface maxillofacial trauma cases was 181. Out of 181 patients, 161 had ocular injuries. Among 181 cases, 161 (88.95%) cases were due to road traffic accidents, which was the prime etiologic factor. Out of total 181 patients, 172 (95.03%) were males and 9 (4.97%) were females. The maximum number of cases were of zygomaticomaxillary complex fractures (44.75%) followed by nasal bone fractures (21.5%). Periorbital ecchymosis accounted for the maximum number of cases, amounting to 61.88%. Loss of vision or blindness was seen in eight (4.42%) patients. Conclusions The study stresses further on the importance of long-term and continuous data collection and record management of trauma patients, which may help health care providers with necessary information to develop treatment protocols and device measures for the prevention of complications.

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“…[ 2 14 ] Eliciting the relevant signs and symptoms is usually important as they can be pointers in the diagnosis of ophthalmic injuries, most especially in patients who are unconscious and unable to describe their symptoms. [ 15 ] It is important to note that some ophthalmic injuries may not be apparent, and potentially blinding complications may easily be missed unless actively sought for. [ 2 7 ] On the other hand, inadequate care can result in blindness, with its attendant social and medico-legal implications.…”

Section: Introductionmentioning

confidence: 99%

Ophthalmic Injuries in Patients with Maxillofacial Trauma Presenting to a Teaching Hospital in North Central Nigeria

Panshak

Akhiwu

Ramyil

et al. 2022

Journal of West African College of Surgeons

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Background: Ophthalmic injuries in patients with maxillofacial trauma are potential causes of a permanent visual loss. These injuries can easily be missed; hence, there is a need for the ophthalmic evaluation of patients with maxillofacial trauma. The main objective of this study was to determine the prevalence, patterns, etiology, and risk factors of ophthalmic injuries in patients presenting with maxillofacial trauma in a teaching hospital in North Central Nigeria. Materials and Methods: The study was a hospital-based, descriptive, cross-sectional study of 67 patients with maxillofacial trauma recruited over a 6-month study period. Information on the sociodemographic and clinical characteristics of the study participants was obtained. The data were analysed using SPSS version 20 statistical software. Pearson’s chi-square test was used to test for statistical significance. Results: Ophthalmic involvement was seen in 77.6% of the study participants, with males and individuals aged 21–30 years being more commonly affected. The leading cause of ophthalmic injuries in patients with maxillofacial trauma was road traffic accident (RTA) (75.5%). Others included assaults and fall from heights. Amongst the RTA cases, 71.4% was due to motorcycle-related accident with 91.9% of the patients with ophthalmic injuries observed not to use helmet/seat belt. The use of alcohol and not wearing protective gears were seen as the risk factors. Simple zygomatic complex fracture was the most common trauma observed (44.2%). Conclusion: Ophthalmologic assessment should be conducted for all patients presenting with maxillofacial trauma. The laws on the use of protective gears such as helmets and seat belts should be enforced.

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Evaluation of Intra Ocular Pressure in Zygomatico Maxillary Complex Fractures

Cited by 6 publications

References 30 publications

Analysis of Gillies Temporal approach vs Towel Clip method for reduction of Zygoma Fractures

Analysis of Gillies Temporal approach vs Towel Clip method for reduction of Zygoma Fractures

A Clinical Study of the Evaluation and Assessment of the Etiology and Patterns of Ocular Injuries in Midfacial Trauma in a Tertiary Care Hospital

Ophthalmic Injuries in Patients with Maxillofacial Trauma Presenting to a Teaching Hospital in North Central Nigeria

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