Management of Zygomatic Fractures

Baylan, Joseph M.; Jupiter, Daniel C.; Parker, Wendy L.; Czerwiński, Marcin

doi:10.1097/scs.0000000000002880

Cited by 19 publications

(39 citation statements)

References 18 publications

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“…However, in a retrospective study of 210 cases of ZMC fractures, 84% (n = 177) patients had ORIF, whilst 16% (n = 33) had closed reduction [4] . A survey answered by over 1600 ENT, OMFS and plastic surgeons that showed 81% would choose ORIF for ZMC fractures [15] . None of the ZMC fractures in our cohort were treated with closed reduction.…”

Section: Discussionmentioning

confidence: 99%

“…Some centres carry out orbital floor exploration in cases of primary diplopia or evidence of comminuted ZMC fractures only [17] . Interestingly, as demonstrated in a survey involving facial reconstructive surgeons, it was shown that 35% would carry out an orbital floor exploration routinely [15] . The proportion of patients in our cohort undergoing orbital floor repair was also lower when comparing to the literature.…”

Section: Discussionmentioning

confidence: 99%

“…At our centre, one-point fixation was the most popular technique for surgical stabilization of ZMC fractures, with the ZM buttress being the most popular choice. It is generally accepted that sufficient stability is obtained with one-point fixation when there is no comminution of the ZMC fracture, with two-point and three-point fixation providing increasing stability where necessary, and often based on fracture comminution and surgeon's preference [15] . The upper buccal sulcus incision is widely accepted as the best approach for ZM buttress fixation.…”

Section: Discussionmentioning

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: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

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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“…The second most affected area was zygoma in the area of one-third of the facial half by the study of Baylan JM et al 20 This is due to the structure of zygoma which is more prominent than the other facial bones and has multiple articulations with other facial bones making it vulnerable to fractures on impact. 3,11 A totally different case happened in this study, where the highest prevalence of trauma was maxillary fractures (33.6%) followed by zygoma fractures (28.4%) and mandibula fractures (15.5%) respectively.…”

Section: Discussionmentioning

confidence: 99%

The characteristics and patterns of maxillofacial fractures at Mangusada general hospital, Badung-Bali

Wiwekananda¹,

Arimbawa²,

Roosseno³

2019

Int J Res Med Sci

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Background: Trauma is one of the leading causes of death among people under 40 years of age and approximately 10 percent of the cases have been maxillofacial trauma. There was limited number of studies on maxillofacial fractures in Indonesia. Thus, this research attempted to investigate the characteristics and patterns of maxillofacial fractures at Mangusada General Hospital in Badung-Bali.Methods: This research was a cross-sectional descriptive study which conducted at Mangusada General Hospital in the period of 1 January 2016 - 31 December 2017. The 127 samples selected using non-probability sampling. The inclusive criteria involved all maxillofacial trauma cases and the exclusive criteria focused on maxillofacial fractures that received intervention or with incomplete medical records. Each data was collected from the medical records and then analysed descriptively.Results: From 127 samples, male dominated the sample on the gender-based criteria (70.1%) and the highest frequency of all age groups is 21-30 years old on the age group based criteria (23.6%). Maxillary fractures are the most occurring maxillofacial cases, which took up 33.6%. The main cause of the cases is traffic accidents (89.0%).Conclusions: Maxillary fractures are the highest maxillofacial cases at Mangusada General Hospital on 1 January 2016 - 31 December 2016 period of time. The productive male age groups are the most affected groups due to traffic accidents.

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“…The absence of correct and immediate diagnosis of zygomatic bone fractures can lead to incorrect treatment with severe aesthetic and morphological implications, much more di cult to correct secondarily [5]. Regardless of the chosen therapeutic method, the treatment of zygomatic fractures is aimed at restoring orbital contour with the recovery of ocular globe functions, opening of the mouth within physiological limits, restoration of the sagittal, vertical and horizontal diameters of the midface by reduction of the fractured fragments in anatomical position and prevention of late complications [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Evaluation Of Clinical Features And Treatment Of Zygomatic Bone Fractures: A 10-Year Retrospective Study

Iulia

Țenț

Juncar

et al. 2020

Preprint

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Background The pattern of zygomatic bone fractures varies in the literature, their features being frequently masked by the presence of associated soft tissue lesions, which make clinical diagnosis and therapeutic indications difficult. The aim of this study was to evaluate the clinical features of zygomatic bone fractures and their interrelation with concomitant overlying soft tissue lesions, in order to improve the diagnosis and the establishment of the correct treatment. We also aimed to assess the type of treatment methods applied depending on the fracture pattern of the zygomatic bone, as well as their effectiveness depending on the incidence rate of postoperative complications. Methods A 10-year retrospective evaluation of midface fractures was performed in patients diagnosed and treated in a tertiary Clinic of Oral and Maxillofacial Surgery. Results The study included 242 patients with zygomatic bone fractures. The majority of the fractures were displaced n = 179 (73.90%), closed n = 179 (73.90%) and complete n = 219 (90.50%). Hematoma was the most frequent associated soft tissue lesion n = 102 (42.15%) regardless of the fracture pattern (p = 1.000). The incidence of lacerations and excoriations was statistically higher in the case of complete (laceration p = 0.0028/ excoriation p = 0.037), displaced and comminuted zygomatic fractures (laceration p = 0.015/ excoriation p = 0.001). The most frequent type of treatment applied was Gillies reduction (61.98%), followed by ORIF (30.99%). The most frequent postoperative complication was malunion secondary to Gillies treatment (p = 002). Conclusions Patients presenting lacerations and excoriations on clinical soft tissue examination will most frequently have an underlying complete, displaced or comminuted zygomatic fracture. The most effective treatment method in the case of displaced, open or comminuted fractures was ORIF, while in the case of non-displaced and closed fractures, conservative treatment was the most effective.

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Management of Zygomatic Fractures

Cited by 19 publications

References 18 publications

Surgical management of zygomatic complex fractures in a major trauma centre

Surgical management of zygomatic complex fractures in a major trauma centre

The characteristics and patterns of maxillofacial fractures at Mangusada general hospital, Badung-Bali

Evaluation Of Clinical Features And Treatment Of Zygomatic Bone Fractures: A 10-Year Retrospective Study

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