Surgical Management of Zygomatico-Maxillary Complex Fractures with Two Point Fixation- A Clinical Case Presentation &amp; Review of Literature

Gawande, Mayur; Dombre, Supriya; Bidiwala, Aamir; Dehankar, Tejasvini

doi:10.18311/ijmds/2020/25050

Cited by 1 publication

(2 citation statements)

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“…However, the study conducted by Gawande et al . [ 32 ] showed that infraorbital sensations were diminished in three-point fixation group. This may attribute to the risk of additional trauma to infraorbital nerve, even if great care is taken leading to its compression.…”

Section: Discussionmentioning

confidence: 99%

“…This is in contrast to the study conducted by Gawande et al . [ 33 ] where infraorbital nerve function following treatment of orbitozygomatic complex fractures were more pronounced and severe in patients who underwent closed reduction without miniplate fixation. [ 34 35 36 ] Postoperative complications in three groups were very minimal.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Two-Point versus Three-Point Fixation in the Management of Zygomaticomaxillary Complex Fractures

Gawande¹,

Lambade²,

Bande³

et al. 2021

Annals of Maxillofacial Surgery

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Introduction: The zygoma plays an important role in the facial contour for both cosmetic and functional reasons; therefore, zygomatic bone injuries should be properly diagnosed and adequately treated. Comparison of various surgical approaches and their complications can only be done objectively using outcome measurements that require a protocol for management and long-term follow-up. The objectives of this study were to compare the efficacy of zygomatic bone after treatment with open reduction internal fixation (ORIF) using two-point fixation and ORIF using three-point fixation and compare the outcome of two procedures. Materials and Methods: Twenty patients were randomly divided equally into two groups. In Group A, ten patients were treated by ORIF using two-point fixation by miniplates and in Group B, ten patients were treated by ORIF using three-point fixation by miniplates. They were evaluated with their advantages and disadvantages and the difference between the two groups was observed. Results: We found that postoperative facial and neurological complications are minimum in two-point fixation group. Based on this study, open reduction and internal fixation using two-point fixation by miniplates is sufficient and the best available treatment of choice for the management of zygomaticomaxillary complex fractures. Discussion: Alignment of the fracture at three points and fixation at two stable points provide the most accurate and satisfactory postoperative results. Two-point interosseous fixation at the “buttress” fracture and the frontozygomatic (FZ) fracture is suitable for routine surgery. The results of these studies confirm with the present study that two-point fixation provided better stability in patients with clinical and radiological evidence of fracture in FZ and zygomaticomaxillary buttress area.

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Section: Discussionmentioning

confidence: 99%