Single Transconjunctival Incision and Two-point Fixation for the Treatment of Noncomminuted Zygomatic Complex Fracture

Lee, Paik Kwon; Lee, Jung Ho; Choi, Yoon Seok; Oh, Deuk Young; Rhie, Jong Won; Han, Ki Taik; Ahn, Sang Tae

doi:10.3346/jkms.2006.21.6.1080

Cited by 27 publications

(27 citation statements)

References 18 publications

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“…The transconjunctival incision initially developed by Bourguet in 1928 for cosmetic procedures, was utilized by Converse and Tessier for the treatment of fractures and congenital malformations [4]. Transconjunctival incisons can be pre-septal or post-septal with the former more commonly used for treatment of fractures [3,5].…”

Section: Introductionmentioning

confidence: 99%

Comparison of ‘sutureless’ Transconjunctival and Subciliary Approach for Treatment of Infraorbital Rim Fractures: a Clinical Study

Vaibhav

Keerthi

Nanjappa

et al. 2015

J. Maxillofac. Oral Surg.

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Purpose The aim of the study is to compare subciliary incision and 'sutureless' transconjunctival incision in the treatment of infraorbital rim fractures. Materials and method In this prospective study, 40 patients with fractures of the infraorbital rim were selected and divided into 2 groups using random sampling technique. Group A patients were treated using 'sutureless' transconjunctival technique and group B patients were treated using subciliary approach. The following parameters were compared a) time taken, intraoperative ease of access, exposure achieved; b) clinical outcome and postoperative complications; c) Aesthetic outcome at intervals of 15 days, 1 month and 3 months. Results Total time taken for completion of surgery was lesser in group A patients. The presence of subconjunctival ecchymosis (at 1 month interval) and neurological deficit was found to be statistically significant (P\0.05) in the 'subciliary' group of patients. The transconjunctival approach showed better esthetic results and fewer postoperative complications. Conclusion The subciliary approach gives good exposure of the infra-orbital rim and is better suited to reduce extensively displaced fractures of the infra-orbital rim. The transconjunctival approach is comparatively faster, gives better esthetic results and fewer post-operative complications but is technique sensitive and requires an additional lateral canthotomy in cases where more exposure is needed.

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Section: Introductionmentioning

confidence: 99%

Comparison of ‘sutureless’ Transconjunctival and Subciliary Approach for Treatment of Infraorbital Rim Fractures: a Clinical Study

Vaibhav

Keerthi

Nanjappa

et al. 2015

J. Maxillofac. Oral Surg.

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“…These symptoms can affect the patient’s quality of life and well-being. To increase patient satisfaction after treatment of uni- and bilateral zygomatic bone fractures, it is a necessary goal to minimize side effects as much as possible [6]. One way do so is to prescribe medication such as corticosteroids [7], non-steroidal anti-inflammatory drugs [8], a combination of corticosteroids and non-steroidal anti-inflammatory drugs [9] or enzyme preparations such as serrapeptase [10].…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional evaluation of postoperative swelling in treatment of zygomatic bone fractures using two different cooling therapy methods: a randomized, observer-blind, prospective study

Modabber

Rana

Ghassemi

et al. 2013

Trials

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BackgroundSurgical treatment and complications in patients with zygomatic bone fractures can lead to a significant degree of tissue trauma resulting in common postoperative symptoms and types of pain, facial swelling and functional impairment. Beneficial effects of local cold treatment on postoperative swelling, edema, pain, inflammation, and hemorrhage, as well as the reduction of metabolism, bleeding and hematomas, have been described.The aim of this study was to compare postoperative cooling therapy applied through the use of cooling compresses with the water-circulating cooling face mask manufactured by Hilotherm in terms of beneficial impact on postoperative facial swelling, pain, eye motility, diplopia, neurological complaints and patient satisfaction.MethodsForty-two patients were selected for treatment of unilateral zygomatic bone fractures and were divided randomly to one of two treatments: either a Hilotherm cooling face mask or conventional cooling compresses. Cooling was initiated as soon as possible after surgery until postoperative day 3 and was applied continuously for 12 hours daily. Facial swelling was quantified through a three-dimensional optical scanning technique. Furthermore, pain, neurological complaints, eye motility, diplopia and patient satisfaction were observed for each patient.ResultsPatients receiving a cooling therapy by Hilotherm demonstrated significantly less facial swelling, less pain, reduced limitation of eye motility and diplopia, fewer neurological complaints and were more satisfied compared to patients receiving conventional cooling therapy.ConclusionsHilotherapy is more efficient in managing postoperative swelling and pain after treatment of unilateral zygomatic bone fractures than conventional cooling.Trial registrationGerman Clinical Trials Register ID: DRKS00004846

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“…Based on this, Lee et al asserted that a two-point miniplate fixation at the infraorbital rim and zygomaticofrontal suture would suffice in non-comminuted ZMC fractures [16]. …”

Section: Discussionmentioning

confidence: 99%

Advantages of intraoral and transconjunctival approaches for posterior displacement of a fractured zygomaticomaxillary complex

Yoo

Lee

Paek

et al. 2016

Maxillofac Plast Reconstr Surg

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BackgroundFracture of the zygomaticomaxillary complex (ZMC) is one of the most common facial injuries. A previous study has performed 3D analyses of the parallel and rotational displacements that occur in a fractured ZMC. However, few studies have investigated adequate fixation methods according to these displacements. Here, we assessed whether specific approaches and fixation methods for displacement of ZMC fractures produce esthetic results.MethodsHospital records and pre- and post-surgical computed tomographic scans of patients treated for ZMC fractures at the Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University, between January 2010 and December 2015, were selected. Data were analyzed according to the direction of displacement and post-reduction prognosis using a 3D software.ResultsWith ZMC fractures, displacement in the posterior direction occurred most frequently, while displacement in the superior-inferior direction was rare. A reduction using a transconjunctival approach and an intraoral approach was statistically better than that using an intraoral approach, Gillies approach, and lateral canthotomy approach for a posterior displacement (P < 0.05).ConclusionsWhen posterior displacement of a fractured ZMC occurs, use of an intraoral approach and transconjunctival approach simultaneously is recommended for reducing and fixing the displaced fragment accurately.

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Single Transconjunctival Incision and Two-point Fixation for the Treatment of Noncomminuted Zygomatic Complex Fracture

Cited by 27 publications

References 18 publications

Comparison of ‘sutureless’ Transconjunctival and Subciliary Approach for Treatment of Infraorbital Rim Fractures: a Clinical Study

Comparison of ‘sutureless’ Transconjunctival and Subciliary Approach for Treatment of Infraorbital Rim Fractures: a Clinical Study

Three-dimensional evaluation of postoperative swelling in treatment of zygomatic bone fractures using two different cooling therapy methods: a randomized, observer-blind, prospective study

Advantages of intraoral and transconjunctival approaches for posterior displacement of a fractured zygomaticomaxillary complex

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