scholarly journals Use of C-Arm to Assess Reduction of Zygomatic Complex Fractures: A Comparative Study

2017 ◽  
Vol 10 (1) ◽  
pp. 35-43 ◽  
Author(s):  
AtmakuruVenkata Maheedhar ◽  
C. Ravindran ◽  
Emmanuel D. S. Azariah

The aim of this study was to analyze the use of C-arm and its significance in accurate reduction of zygomaticomaxillary complex (ZMC) fractures. Orbital volume is used as parameter to compared pre- and postoperative volumes of injured orbit. Differences in orbital volume calculated in cases done with intraoperative imaging and in controls treated without the use of intraoperative imaging were evaluated using Student t-test. C-arm is definitively an effective tool in the armamentarium of oral and maxillofacial surgery in assessment of reduction of ZMC fracture.

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
MayurJanardan Gawande ◽  
PravinN Lambade ◽  
Chandrashekhar Bande ◽  
MK Gupta ◽  
Monica Mahajan ◽  
...  

2021 ◽  
pp. 194338752110291
Author(s):  
Jagdish Eswari ◽  
C. Ravindran ◽  
C. Deepak

Study Design: A single blind randomized controlled study. Objective: The aim of this study is to evaluate the use of ultrasonography intraoperatively to assess the reduction of unilateral zygomatic complex fractures with a control group using the conventional blind digit palpation. Methods: The study comprised of a sample size of 24 patients with 21 male and 3 female patients. Patients of all age groups diagnosed with unilateral displaced zygomatic complex fracture with or without mandible fracture were included in the study. The subjects were randomized into study and control groups based on a standard protocol with a total of 24 patients. Imaging was in the form of a preoperative and postoperative 3D computed tomography scan with reconstruction of the maxilla and mandible to interpret the diagnosis for all subjects. The inter-fracture distance of the fractured infraorbital rim were measured in 3 dimensions (antero-posterior, medio-lateral and supero-inferior) and compared pre and postoperatively. Preoperative, intraoperative and postoperative ultrasonographic examination was performed and recorded on all patients at the frontozygomatic region, infraorbital rim and zygomatic buttress to assess the proximity of the fractured margins pre reduction, post reduction and post fixation of the fracture segments. Result: Statistical analytic results were significant in all 3 dimensions when measured postoperatively using computed tomography. Conclusion: Ultrasonography is an effective screening and intraoperative tool in the armamentarium of oral and maxillofacial surgery to assess zygomatic complex fractures, avoiding incisions in aesthetic areas of the maxillofacial region.


2021 ◽  
Vol 8 ◽  
Author(s):  
Jingya Jane Pu ◽  
Colman Patrick McGrath ◽  
Yiu Yan Leung ◽  
Wing Shan Choi ◽  
Wei-fa Yang ◽  
...  

Objective: Oral and maxillofacial surgery (OMFS) is a high-risk specialty involving airway and aerosol-generating procedures, which is potentially of more risk in the era of coronavirus disease 2019 (COVID-19). We aimed to identify the impact of COVID-19 on the disease pattern of OMFS inpatients and surgeries under general anesthesia in a comparative study.Materials and Methods: We reviewed the admission and operating theater records of OMFS patients from Jan 1 to Aug 31 in 2020 and 2019. The total number of cases, presenting disease patterns, and proportion of essential and non-essential medical services were compared between 2020 and 2019.Results: There were 664 admissions and 356 general anesthesia surgical procedures included in this study. Both admission and surgery numbers were significantly reduced in 2020, compared with 2019 (p = 0.012 and 0.007, respectively). The proportion of malignancy cases increased significantly, whereas that of cleft lip and palate and temporomandibular disorder (TMD) decreased. There was a significant increase in the proportion of essential services compared with non-essential services in 2020 compared with 2019.Conclusion: Our results first reported the epidemiological data of the impact of COVID-19 on OMFS disease pattern in a comparative study. The change of disease pattern and caseload will have a long-term impact on OMFS patient care, education, and training during the pandemic. Our paper provides evidence for health policy makers to consider the relocation of medical resources and optimization of medical education and services.


2014 ◽  
Vol 42 (8) ◽  
pp. 1918-1923 ◽  
Author(s):  
Wouter M.M.T. van Hout ◽  
Ellen M. Van Cann ◽  
Marvick S.M. Muradin ◽  
Michaël H. Frank ◽  
Ronald Koole

Author(s):  
Howard D. Wang ◽  
Jasjit Dillon

AbstractZygomaticomaxillary complex fracture is one of the most commonly treated facial fractures. Accurate reduction and stable fixation of the zygoma are required to restore facial symmetry and projection and avoid functional sequalae from changes in orbital volume. Achieving optimal outcome is challenging due to the complex three-dimensional anatomy and limited visualization of all affected articulations of the zygoma. This article provides an updated overview of the evaluation and management of zygomaticomaxillary complex fractures based on available evidence and clinical experience at our center. The importance of soft tissue management is emphasized, and approaches to internal orbital reconstruction are discussed. While evidence remain limited, intraoperative imaging and navigation may prove to be useful adjuncts in the treatment of zygomaticomaxillary fractures.


2018 ◽  
Vol 18 (2) ◽  
pp. 256-259 ◽  
Author(s):  
Vikas Sharma ◽  
Amaninder Singh ◽  
Parul Sharma ◽  
Simranjeet Kaur ◽  
Akanksha Zutshi

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