Facial Fractures: Large Epidemiologic Survey in Northern Brazil Reveals Some Unique Characteristics

Ribeiro, André Luís Ribeiro; Gillet, Luciana Campêlo da Silva; Vasconcelos, Hiam Ghassan de; Rodrigues, Luciana de Castro; Pinheiro, João de Jesus Viana; Alves-Júnior, Sérgio de Melo

doi:10.1016/j.joms.2016.08.015

Cited by 27 publications

(49 citation statements)

References 38 publications

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“…The demographic data showed that the commonest age group (mode) presenting with ZMC fractures was 27 years of age, and the incidence was significantly greater (89%) in men compared to women (11%), which was in keeping with the current literature [1][2][3][4] . The commonest aetiology was interpersonal violence (53%), followed by falls, RTCs and sport-related injuries.…”

Section: Discussionsupporting

confidence: 88%

“…Zygomatic complex (ZMC) fractures are relatively common. A literature search showed ZMC fractures to account for approximately 15%-23.5% of maxillofacial fractures [1][2][3] . The incidence of ZMC fractures varies with geographical location, socioeconomic trends, and incidence of road traffic collisions (RTCs), alcohol abuse and drug abuse [4] .…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of ZMC fractures varies with geographical location, socioeconomic trends, and incidence of road traffic collisions (RTCs), alcohol abuse and drug abuse [4] . A number of studies had shown ZMC fractures to be the second most common facial fracture, after nasal bone or mandible fractures [3][4][5][6] . Common causes of ZMC fractures include interpersonal violence (15%-64.5%), RTCs (13.9%-49%), as well as falls, occupational accidents, and sport-related injuries [3,7,8] .…”

Section: Introductionmentioning

confidence: 99%

“…A number of studies had shown ZMC fractures to be the second most common facial fracture, after nasal bone or mandible fractures [3][4][5][6] . Common causes of ZMC fractures include interpersonal violence (15%-64.5%), RTCs (13.9%-49%), as well as falls, occupational accidents, and sport-related injuries [3,7,8] . Furthermore, ZMC fractures are more common in men than women, and most commonly occur in the third decade of life [2] .…”

Section: Introductionmentioning

confidence: 99%

“…The fixation points used in the Open Reduction and Internal Fixation (ORIF) of ZMC fractures are shown in Figure 2. A review of the literature shows that for ORIF of ZMC fractures, the number of fixation points used, their location, as well as the incisional access to these fixation points is variable [1][2][3][4] . A multidisciplinary survey by Farber et al [10] in 2016 involving Otorhinolaryngology (ENT), Plastic and Oral and Maxillofacial (OMF) surgeons, demonstrated variable treatment choices for ZMC fractures regarding the location and number of fixation points, surgical approaches, as well as the need for orbital floor exploration.…”

Section: Introductionmentioning

confidence: 99%

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Surgical management of zygomatic complex fractures in a major trauma centre

Bradley¹,

Leung²,

Saxena³

et al. 2019

PAR

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Aim: To analyse the epidemiology, aetiology, and surgical management of zygomatic complex (ZMC) fractures in our major trauma centre, and to compare the number and location of fixation points and surgical access in our patient cohort with the literature. Methods: Retrospective analysis of all operative cases (Open Reduction and Internal Fixation) of zygomatic complex fractures over a one year period (2016). Results: A greater proportion of patients in our cohort (54%) were treated with one-point fixation compared to the literature, with the zygomaticomaxillary (ZM) buttress being the most popular fixation point (90%). ZM buttress and frontozygomatic (FZ) suture were the commonest choices for two-point fixations (70%). Buccal sulcus incision was used for ZM access in all cases. For FZ access, upper blepharoplasty incision was the most common (56%). For infra-orbital margin access, transconjunctival incision was the most common (75%). There was no significant association between number of fixation points and presence of associated injuries, impact of injury, or time to operation. There were no post-operative complications. Conclusion: A greater proportion of patients in our cohort were successfully treated with one point fixation compared to the literature, and fewer patients underwent orbital floor exploration and repair in our cohort compared to the literature. This study highlights the ongoing variation in the surgical management of ZMC fractures.

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Section: Discussionsupporting

confidence: 88%