The clinical course of diplopia associated with zygomaticomaxillary complex fractures before and after surgery

Salma, Ra’ed Ghaleb; Almutairi, Khalid Merheb; Alalmai, Mohammed Ibrahim

doi:10.1016/j.ajoms.2017.11.006

Cited by 7 publications

(7 citation statements)

References 37 publications

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“…Daily eye exercise may be responsible for the late improvement as well as the resolution of residual adhesions. 18 We believed that some time should be allowed for the regression of edema prior to surgical intervention. However, it was still mandatory for post-traumatic CT scan evaluation to exclude the possibility of extraocular muscles entrapment, which in that case would require immediate surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

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Unilateral Zygomatic Complex Fracture – A Comparison Between Nonsurgical Treatment and Surgical Treatment

Ling

Yew²,

Nazri³

et al. 2021

Journal of Craniofacial Surgery

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aims to analyze the demographics and treatment outcomes of unilateral ZMC fractures, treated nonsurgically or surgically. Methods: This 5-year nonrandomized prospective study had included 65 cases of unilateral ZMC fractures from October 2014 until December 2019. Patients were treated and divided into nonsurgical and surgically treated group. Treatment outcomes in terms of step deformities, malar depression, diplopia, infraorbital hypoaesthesia, and mouth opening were evaluated up to six months post-trauma/intervention. Results: Road traffic accident (96.9%) was the main cause, with predominant male involvement (80%) and median age of 28 years. Significant improvements (P < 0.05) were observed for step deformities and malar depression among the surgically treated group at postoperative day 1 and week 1. Throughout the six months review, infraorbital hypoesthesia and diplopia showed no significant differences between both groups, (P > 0.05). Besides, all patients showed significant mouth opening improvement (P < 0.05) over six months period. Conclusion:The authors found that infraorbital hypoaesthesia and limited of mouth opening should not be the absolute indications for surgical treatment of ZMC fractures. Nonsurgical treatment that included early jaw exercise and symptomatic treatment had potential value for satisfactory functional gain.

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Section: Discussionmentioning

confidence: 99%

“…Meanwhile, for the surgical group, diplopia was reported only last up to three months after surgery. Daily eye exercise may be responsible for the late improvement as well as the resolution of residual adhesions 18 . We believed that some time should be allowed for the regression of edema prior to surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Zygomatic Complex Fracture – A Comparison Between Nonsurgical Treatment and Surgical Treatment

Ling

Yew²,

Nazri³

et al. 2021

Journal of Craniofacial Surgery

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“…Post-surgical diplopia was reported in 37% of cases. Authors conclude that traumatic diplopia in unilateral middle- and high-energy zygomaticomaxillary complex fractures is a common symptom [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Titanium Nickelide in Midface Fractures Treatment

Shamanaeva

Diachkova

Petruk

et al. 2020

JFB

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Background: The question of reconstruction of human tissues and organs with the use of medical materials is still open, because of the accurate requirements for their biological and physical features. The aim of this study was to prove the efficiency of titanium nickelide constructors in treatment of isolated orbital floor fractures or combination with zygomatico-orbital complex fractures. Methods: Patients with a fracture of zygomatico-orbital complex and/or low orbital floor (n = 44) carried out different treatments: in the first group, osteosynthesis and endoprosthesis with titanium nickelide structures; in the second group, titan mini-plates osteosynthesis; in the third group (‘blow-out’), endoprosthesis with a titanium nickelide mesh; and in the fourth group (‘blow-out’), conservative treatment and monitoring (archive data) (p > 0.05). The paraesthesia, diplopia, enophthalmos and exophthalmos degree were measured in points. Results: In one year, the first and second groups had no differences in level of paraesthesia (p > 0.05). The absence of exophthalmos and differences between first and second groups, and between the third and the fourth groups with positive dynamics inside the groups were proved (p < 0.05). In the first and third groups, enophthalmos was absent, and it increased in the second and fourth groups (p < 0.01, p < 0.11). Diplopia in the first and third groups was absent, and it increased in the second and fourth groups (p < 0.05, p < 0.01). Conclusion: The elasticity and biocompatibility of titanium nickelide make the implant insertion and restoration of the lower orbital wall anatomy easier, with good postoperative clinical results.

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“…Fractures of the zygoma are usually accompanied by orbital fractures, with varying degrees of orbital floor comminution and ejection into the maxillary sinus. Diplopia, traumatic mydriasis, subconjunctival hemorrhage, corneal laceration, canthal laceration, enophthalmos, reduced visual acuity, retinal detachment, ruptured globe, retinal hemorrhage, hyphema and angle recession are ocular complications of zygomatic fractures [7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Frequency of Diplopia in Zygomatic Fractures

Rahman¹,

Rehman²,

Munem³

et al. 2023

PJMHS

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Background: A zygomatic fracture is a type of face fracture resulting from a break in the zygomatic bone. It is frequently the result of facial injuries caused by automobile accidents, physical assault, falls, etc, often associated with pre and post-operative ocular complications. Objectives: Therefore, this research was conducted to determine frequency of diplopia in zygomatic fractures. Methods: The study was executed from June 2020 to November 2022 on 241 patients admitted to the MMMT Hospital, Dera Ismail Khan and data pertaining to diplopia due to zygomatic fractures was recorded at the initial and final visits of the patients. The preoperative and postoperative adverse effects of diplopia were critically examined. Results: The frequency of diplopia in the zygomatic fractures of the study group was determined to be 38.58 percent, with 93 individuals affected. It was also seen that 52 individuals out of 132 were affected with diplopia in road accidents, followed by 16 in physical assaults, 9 in fall injury, 9 in the workplace, and 7 individuals were injured while playing sports, with the respective frequencies being 39.39, 35.55, 42.85, 42.85, and 25.92%. Conclusion: It was concluded from the study that zygomatic fractures continued to be one of the most prevalent maxillofacial fractures and were commonly caused by road accidents. The highest occurrence was observed in young male patients and was frequently linked to ocular problems and the incidence of diplopia was significant among patients with zygomatic fractures (38.58%). In order to limit the frequency of diplopia in cases of zygomatic fractures, it was recommended that surgical treatment of zygomatic fractures be performed promptly to prevent ocular complications. Keywords: Diplopia; Mandibular fractures; Ocular complications; Road accidents; Zygomatic fractures.

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The clinical course of diplopia associated with zygomaticomaxillary complex fractures before and after surgery

Cited by 7 publications

References 37 publications

Unilateral Zygomatic Complex Fracture – A Comparison Between Nonsurgical Treatment and Surgical Treatment

Unilateral Zygomatic Complex Fracture – A Comparison Between Nonsurgical Treatment and Surgical Treatment

Titanium Nickelide in Midface Fractures Treatment

Frequency of Diplopia in Zygomatic Fractures

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