Patterns of zygomatic complex bone fracture in Saudi Arabia

Ali-Alsuliman, Dawood; Ibrahim, El-Hakim; Braimah, Ramat Oyebunmi

doi:10.4103/jets.jets_12_18

Cited by 10 publications

(6 citation statements)

References 35 publications

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“…[ 4 5 ] In this study, the peak age of occurrence of MF was amongst those <30 years, similar to other studies,[ 1 2 ] while some studies reported fourth decade, the second most common age in this study, as the peak age of incidence. [ 25 26 ] The possible explanation for the peak incidence in our study could be because this period is the most active phase of life and people in this age group may engage in risky behaviours, exercises and sports. Road traffic accident (RTA) is reportedly the leading cause of death in this age group.…”

Section: Discussionmentioning

confidence: 88%

“…[ 1 28 ] The mandible is more vulnerable due to its mobility, conspicuousness and its less bony support compared to the maxilla. [ 24 ] However, fracture of the nasal bone[ 30 ] and zygomatic complex fracture[ 25 ] were reported to be the most common MF by some researchers. As documented in other studies and also supported by our findings, the pre-treatment QoL of patients with MF was very poor in all the domains of WHOQOL-BREF when compared with the healthy controls.…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Deterioration in Quality of Life of Subjects after Maxillofacial Fractures - A Prospective Study

Adetayo,

Somoye,

Fasesan

et al. 2023

Annals of Maxillofacial Surgery

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Introduction: Maxillofacial fractures (MFs) are quite common and are managed by oral and maxillofacial surgeons. Despite these interventions, a pre-traumatic facial profile is often not achieved with consequent social and psychologic consequences. Materials and Methods: Patients with fractures to the middle and lower third of the face that presented within 48 hours and healthy controls (subjects without facial fracture) that were sex- and age-matched with the fracture patients were recruited into the study. World Health Organization Quality of Life - Brief Version (WHOQOL-BREF) questionnaire was used to compare the Quality of Life (QoL) values according to age, gender, educational status, employment status, marital status, site of trauma and type of fracture. Results: Only the age of subjects was associated with deterioration in QoL after MF while other variables were not. Discussion: Increasing age of the patients was associated with higher QoL possibly because those with age <30 years are single and unemployed and may have fear and anxiety that the fracture could affect their chances of getting married or being employed, causing reduced QoL. Psychosocial rehabilitation is very important in patients with MF, especially for the young age group.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Factors Associated with Deterioration in Quality of Life of Subjects after Maxillofacial Fractures - A Prospective Study

Adetayo,

Somoye,

Fasesan

et al. 2023

Annals of Maxillofacial Surgery

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“…11 Knight and North classification and Zing classification are commonest in use. [10][11][12]15 For surgeons it always has been a challenge to manage this complex structure as it not only directly impacts the facial aesthetics but also plays a pivotal role in structural balance. 3,16,17 ZMC fracture is more prevalent in third decayed of life in previous studies.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Pattern of Zygomatic Complex Fracture in a Tertiary Care Hospital of Central Nepal

Dhungel,

Roy,

Thapa

et al. 2024

J Coll Med Sci-Nepal

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Background Zygomatic complex fracture is one of the commonest fractures of face leading to facial asymmetry. Various classification systems describing the pattern have been reported. The aim of this study was to determine the prevalence and pattern of Zygomatic maxillary complex fracture in tertiary centre hospital of Nepal based on two different classifications. MethodsA prospective observational study was conducted on College of Medical Sciences, Teaching Hospital, Chitwan from September 2021 to August 2023 with all cases of facial injuries. Computed Tomography scan of the cases were considered and 371 cases with Zygomatic maxillary complex fracture were studied. Apart from the demographic data, Knight and North classification and Zing Classification of the fractures were recorded. The data was tabulated and analysed using SPSS 20.ResultsZygomatic maxillary complex fracture was prevalent in third decayed of life with mean age of 28.45 years. Male (286) were more affected. Road traffic accident is primary cause of the fracture in our study. Type III fracture (31.35%) on Knights classification is commonest pattern followed by type VI (18.65%), type V (13.99%) and type II (14.77%). On Zing classification type B (53.89%) of Zing classifications is more prevalent followed by type C (19.69%) and type A2 (17.36%).Conclusions The study describes the demographic distribution, aetiology and pattern of Zygomatic complex fracture in a tertiary hospital.

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“…They were mainly detected in bisutural and complete ZMO fractures, probably because the maxillary sinus wall is located between vertical and horizontal facial buttresses, which could prevent primary fracture. 25,26 However, these reflections need to be validated by further studies, correlating the trauma mechanism and midface bone characteristics. Additionally, further studies should investigate the correlation of these concomitant fractures with clinical parameters such as dental occlusion disturbance and facial deformity that could indicate reduction and osteosynthesis.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Different Patterns of Zygomaticoorbital Complex Fractures

Sakkas

Weiß

Pietzka

et al. 2023

Craniomaxillofacial Trauma & Reconstruction

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Study Design Very few studies exist regarding the fracture pattern variability of the zygomaticoorbital (ZMO) complex. The retrospective evaluation of a large series of surgically treated unilateral ZMO fractures would in certain circumstances help intraoperative predictability and define sensitive indicators for open reduction and internal fixation. Objective The aim of this study was to investigate the different fracture patterns after ZMO complex injury regarding the 5 anatomic sutures of the zygoma as well as the concomitance of the paranasal buttress and maxillary sinus wall fracture. Methods The medical records of all patients with unilateral ZMO fractures who underwent surgical intervention in a single trauma center department between April 2015 and June 2020 were retrospectively reviewed. Demographic and anamnesis data, radiologic findings, and surgical reports were evaluated. According to the preoperative radiologic evaluation, ZMO fractures were classified as unisutural, bisutural, trisutural, tetrasutural, and complete based on the number of zygomatic sutures. The prevalence of various fracture patterns was analyzed. The impact of patient’s age and trauma etiology on the fracture pattern was evaluated using descriptive statistical analysis. Results The study included 492 patients with unilateral ZMO fractures, with a mean age of 49.93 years (SD = 20.66) and a male:female ratio of 2.23:1. The most affected age group was 19–44 years (41.67%) and tripping falls were the most common etiology (27.24%). Trisutural (57.32%) and unisutural fractures (23.17%) were the most common, followed by tetrasutural (8.94%), bisutural (8.54%), and complete fractures (2.03%). A trisutural fracture involving the zygomaticomaxillary suture, the infraorbital rim, and the zygomaticosphenoidal suture was the most common fracture pattern (52.03%). Most fractures were observed in the zygomaticosphenoidal suture (86.99%), followed by the infraorbital rim (74.59%) and the zygomaticomaxillary suture (68.29%). Fractures of the maxillary sinus wall and the paranasal buttress co-existed in 9.55% and 31.30% of all cases, respectively. No correlation was detected between age and fracture pattern ( P = .4111). Tripping falls and bicycle accidents significantly influenced the fracture pattern ( P < .0001). Conclusions According to the results, knowledge of the fracture pattern variability of the ZMO complex could in certain circumstances designate CT or CBCT as mandatory before operating on ZMO fractures. Consequently, unnecessary incisions could be avoided. The high concomitance of paranasal buttress fracture also suggests its intraoperative surgical exploration. Further studies should correlate the clinical findings with indication for surgery and postoperative outcome for the different fracture patterns described.

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Patterns of zygomatic complex bone fracture in Saudi Arabia

Cited by 10 publications

References 35 publications

Factors Associated with Deterioration in Quality of Life of Subjects after Maxillofacial Fractures - A Prospective Study

Factors Associated with Deterioration in Quality of Life of Subjects after Maxillofacial Fractures - A Prospective Study

Prevalence and Pattern of Zygomatic Complex Fracture in a Tertiary Care Hospital of Central Nepal

Evaluation of Different Patterns of Zygomaticoorbital Complex Fractures

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