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


Affiliations

  • Swargiya Dadasaheb Kalmegh Smruti Dental College & Hospital, Department of Oral & Maxillofacial Surgery, Nagpur, 440016, India

Abstract

Background: Zygomatico-maxillary complex fractures are the most common mid face among all craniofacial fractures. Various surgical approaches and their complications can be done to check the outcome measurement for displaced type of Zygomatico-Maxillary Complex (ZMC) fractures & long term follow up. Objectives: This case presentation are to check the treatment outcome of zygomatic fractures after treatment with Open Reduction Internal Fixation (ORIF) using 2 point fixation technique. Case Report: Patient reported to the Department of Oral & Maxillofacial Surgery at Swargiya Dadasaheb Kalmegh Smruti Dental College & Hospital, Nagpur with chief complaints of pain & swelling over right side of face with Periorbital edema & Subconjuctival hemorrhage. On investigation it was diagnosed as Unilateral Displaced ZMC Fractured which was treated with Open Reduction Internal Fixation (ORIF) using two-point fixation technique. Conclusion: We found that postoperative facial & neurological complications are minimum in two point fixation technique. Open reduction and internal fixation using two-point fixation by miniplates is sufficient for reduction of fracture & postoperative stability at the fracture site and minimize the chance of postoperative complications.


Keywords

Internal Fixation, Open Reduction, Two Point Fixation, Zygomatic Fracture

Subject Discipline

Dentistry

Full Text:

References

Peter Ward booth - Text Book of Oral & Maxillofacial Surgery, Vol 1, 2nd edition.

Parashar A, Sharma RK, Makkar S. Rigid internal fixation of zygomatic fractures: A comparison of two point and three point fixation. Indian J Plast Surg. 2007; 40(1). https:// doi.org/10.4103/0970-0358.32658

Raymond J Fonseca, Trauma; Vol 1, 3rd Edition.

Duverney JG: La fracture de l’apophyse zygomatique. Traite des Maladies des Os 1751 1: 182.

Barry CP, Ryan WJ, Stassen LF. Anatomical study of factors contributing to zygomatic complex fracture instability in human cadavers. Plast Reconstr Surg. 2007; 119(2): 637-40; discussion 641. https://doi.org/10.1097/01.prs.0000239565.82612.56

Barry C, Coyle M, Idrees Z, Dwyer MH, Kearns G. Ocular findings in patients with orbitozygomatic complex fractures: a retrospective study. J Oral Maxillofac Surg. 2008; 66(5): 888–92. https://doi.org/10.1016/j.joms.2008.01.005

Ellis Edward 111, EI-Attar Amir, Moos F. Khursheed. An analysis of 2067 cases of zygomatico-orbital fracture. J Oral Maxillofac Surg. 1985; 43: 417–428. https://doi.org/10.1016/S0278-2391(85)80049-5

Mitchell DA, macleod SP, Bainton R. Multipoint fixation at the frontozygomatic suture with microplates: a technical note. Int J Oral Maxillofac Surg. 1995; 24(2):151–2. https:// doi.org/10.1016/S09015027(06)80090-1

Serigi olate MS, Monteiro, Renato, Roger Willian, Marcio de. Surgical approaches and fixation patterns in Zygomatic complex fractures. J Craniofac Surg. 2010; 21: 1213–1217. https://doi.org/10.1097/SCS.0b013e3181e1b2b7

Islamoglu K, Coskunfirat OK, Tetik G, Ozgentas HE. Complications and removal rates of miniplates and screws used for maxillofacial fractures. Ann Plast Surg. 2002; 48(3):265–8. https://doi.org/10.1097/00000637-20020300000006

Zachariades N, Mezitis M, Anagnostopoulos D. Changing trends in the treatment of zygomaticomaxillary complex fractures: a 12-year evaluation of methods used. J Oral Maxillofac Surg. 1998 Oct; 56(10): 1152–6; discussion 1156–7. https://doi.org/10.1016/S0278-2391(98)90759-5

Dr Mayur J Gawande et al.. ‘Management of ZygomaticoMaxillary Complex Fractures with Three Point Fixation – A Clinical Case Presentation’, International Journal of Current Advanced Research 2020, 09 (01), pp.21022–21025.


Refbacks

  • There are currently no refbacks.