Zygomatic complex fractures

2021 ◽  
pp. 801-806
Author(s):  
A. Nicholas Brown

The zygoma is commonly fractured in facial trauma. The zygoma forms the anterolateral prominence of the face as well as contributing to the orbit and maxillary buttress. The assessment and management of zygomatic fractures are described in this chapter.

2018 ◽  
Vol 2 (9) ◽  
pp. 229-234
Author(s):  
Ritesh Vatsa ◽  
Priyanka Priyadarshini ◽  
A.D. Bhagat Singh

Background: Zygomatic fractures constitute of 20-40% of all facial fractures, most common among the males between the second and fourth decades of life. The ratio of the incidence between females and male is 1: 4. The zygomatic bone occupying a prominent position in the face determines the facial width. It also acts as a major buttress for the mid face between the maxilla and cranium and it is this prominent location which makes it more prone to injury.


2020 ◽  
pp. 194338752094933
Author(s):  
Gabriela Mayrink ◽  
Stella Araújo ◽  
Laisa Kindely ◽  
Renato Marano ◽  
Aguimar Bourguinon de Mattos Filho ◽  
...  

Study Design: Violence against women is a challenge in public health. It involves women of all ages, socioeconomic statuses, cultures, and religions. Objective: The objective of this study was to perform an epidemiological survey of facial trauma among women who experienced physical aggression by an intimate partner. Methods: Electronic medical records from a public tertiary referral hospital for trauma in the Brazilian state of Espírito Santo were analyzed between 2013 and 2018. Results: Patients were most commonly between 20 and 29 years of age (33.9%), and 50% of the patients were of mixed race. When separated by days of the week, facial trauma was most commonly inflicted on Sundays (24.2%) and on Saturdays (22.6%). Of the 62 women included in the study, 47 had facial fractures, and 7 had more than 1 concomitant fracture. Forty of the total fractures (72.7%) were on the middle and upper thirds of the face, while 15 fractures (27.3%) were on the lower third of the face. The most commonly observed signs and symptoms of these injuries were edema (56.5%), periorbital ecchymosis (35.5%), deviated nasal dorsum (22.6%), and hematoma (16.1%). Conclusions: Facial trauma may be considered an important marker of attempted femicide. Health care professionals must be aware of and attentive to this correlation, since many cases of attempted femicide go unnoticed or are attributed to another etiology.


2017 ◽  
Vol 33 (06) ◽  
pp. 581-590
Author(s):  
Patrick Cleveland ◽  
Jesse Smith

AbstractTraumatic injuries to the orbitofrontal region place some of the most important structures of the face at risk: the eyes, frontal skull, and brain. A thorough knowledge of complications from resultant trauma, and from attempted surgical corrections, is necessary to offer patients the best outcomes, ensuring proper healing with excellent long-term results.


2020 ◽  
Author(s):  
Michelle Seu ◽  
Amir H. Dorafshar ◽  
Fan Liang

Craniofacial trauma can result in a wide variety of injuries that cause soft tissue injury of face. However, despite the enormous diversity in presentation of these injuries, they tend to follow certain patterns. Most facial injuries are either contusions, abrasions, lacerations, or avulsions. The extent of injury and approach to repair can be further assessed by the size, depth, and number of facial subunits involved. A plastic surgeon in the setting of acute craniofacial trauma, armed with certain principles of facial anatomy and primary repair methods, can drastically restore function and cosmesis to the face, while also mitigating the chance of future deformity and functional deficit. This review contains 3 figures and 26 references Keywords: facial trauma, craniofacial surgery, primary repair, facial soft tissue defects, soft tissue, facial injury, plastic surgery, facial lacerations, facial avulsions


2019 ◽  
Vol 7 (12) ◽  
Author(s):  
Júlio Leite de Araújo-Júnior ◽  
Elma Mariana Verçosa de Melo-Silva ◽  
Anderson Maikon de Souza-Santos ◽  
Tiburtino José de Lima-Neto ◽  
Murilo Quintão dos Santos ◽  
...  

Introdução: Os ossos nasais são os mais proeminentes do esqueleto facial, tornando esses os mais frequentes nas fraturas faciais, sendo o terceiro osso mais comumente fraturado do esqueleto humano. Objetivo: Apresentar um relato de caso de fratura nasal em um paciente pediatrico tratado com redução incruenta. Método: Estudo descritivo com um paciente que apresentou diagnóstico clínico/imaginológico de fratura nasal. Conclusão: O tratamento através de redução incluenta mostrou-se adequado em pacientes pediatricos. A ocorrência de traumatismos e lesões associadas a fraturas nasais reforça a importância de uma abordagem multidisciplinar.Descritores: Fraturas Ósseas; Osso Nasal; Traumatismos Faciais.ReferênciasMa L, Shen SH, Hu P, Wu ZQ. The observation of curative effect on closed reduction of nasal bone fracture under ultrasound guidance: report of 38 cases. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;52(12):933-35.Schoinohoriti O, Igoumenakis D, Rallis G. Fractures of the nasal bones: is external splinting really warranted? J Craniofac Surg. 2017;28(8):e760-e63.Kang CM, Han DG. Correlation between Operation Result and Patient Satisfaction of Nasal Bone Fracture. Arch Craniofac Surg. 2017;18(1):25-9.Kyung H, Choi JI, Song SH, Oh SH, Kang N. Comparison of postoperative outcomes between monitored anesthesia care and general anesthesia in closed reduction of nasal fracture. J Craniofac Surg. 2018;29(2):286-88.Nishioka H, Kondoh S, Yuzuriha S. Convex bone deformity after closed reduction of nasal bone fracture. J Plast Reconstr Aesthet Surg. 2018;71(1):85-9.Lu GN, Humphrey CD, Kriet JD. Correction of Nasal Fractures. Facial Plast Surg Clin North Am. 2017;25(4):537-546.Kim SW, Park B, Lee TG, Kim JY. Olfactory Dysfunction in Nasal Bone Fracture. Arch Craniofac Surg. 2017;18(2):92-6.Davidson J, Nickerson D, Nickerson B. Zygomatic fractures: comparison of methods of internal fixation. Plast Reconstr Surg. 1990;86(1):25-32.Yabe T, Tsuda T, Hirose S, Ozawa T. Comparison of pediatric and adult nasal fractures. J Craniofac Surg. 2012;23(5):1364-6.Murphy RX Jr, Birmingham KL, Okunski WJ, Wasser TE. Influence of restraining devices on patterns of pediatric facial trauma in motor vehicle collisions. Plast Reconstr Surg. 2001;107(1):34-7.


2021 ◽  
Vol 10 (8) ◽  
pp. e15810816637
Author(s):  
Ana Karisse de Carvalho Andrade ◽  
Maria Patrícia Rogério de Mendonça ◽  
Clarice Maia Soares de Alcântara Pinto ◽  
Manoel de Jesus Rodrigues Mello ◽  
Breno Souza Benevides ◽  
...  

Objective: to analyze the oral health profile of inpatients victims of oral and maxillofacial trauma at the Institute Dr. José Frota Hospital, Ceará, Brazil. Methodology: a study carried out in 2020 started with an examination of the oral cavity at the bedside, application of the DMFT and The Bedside Oral Exam indexes, together with the survey of dental needs and application of the Oral Health Impact Profile Scale (OHIP-14), relating the findings, applying average, standard deviation and calculating Cronbach's alpha coefficient and Spearman's correlation for the OHIP-14 finding. Results: We evaluated 78 patients, mostly male (88%), with a mean age of 32.72 ± 11.63 years old, with hypertension being the most prevalent comorbidity. Besides, 60% of the sample had a fracture in the lower third of the face. The average number of decayed teeth per patient was 5.69. About 62.82% had poor oral health, seen from generalized biofilm and swollen gums. Low-Level Laser therapy was indicated for 94.8% of the sample, periodontal treatment in 58.9%, restorative therapy in 69.2%, and surgical in 42.3%. Regarding the OHIP-14 questionnaire, facial trauma negatively impacted the participants' quality of life, especially in dimensions related to pain. Conclusion: there was a significant prevalence of oral diseases, such as gingivitis and dental caries, which justifies the need for dental intervention before the maxillofacial surgical approach.


2015 ◽  
Vol 6 (4) ◽  
pp. 199-202
Author(s):  
Keerthi Ramesh ◽  
Abhishek Dutta ◽  
AL Gopinath ◽  
MA Reyazulla ◽  
Shatakshi Srivastava ◽  
...  

ABSTRACT Objectives Zygomatic maxillary complex fractures are common in trauma affecting maxillofacial region. Surgical treatment of these fractures causes pain, trismus and swelling, invariably affecting quality of life of patient postoperatively. To control these effects, various pharmacologic methods have been tried, but in vain. The kinesiologic tape (KT) opens the congested blood vessels and lymphatic channels, thereby improving flow across them. The goal of this study was to assess if the application of KT controls postoperative swelling as compared to corticosteroids. Materials and methods Twenty patients with zygomatic maxillary complex fractures, were randomly divided into two groups that is treatment either with KT or without KT using dexamethasone. Kinesiologic tape was placed starting immediately after surgery till 5 days postoperatively. Facial swelling was assessed at six specific time points, across by different lines on the face. Results Overall maximal swelling was seen among patients without the KT. Patients in the KT group showed maximal swelling in the immediate postoperative period, while patients in the no-KT group with dexamethasone had maximum swelling on day one. Also when we compare the extent of swelling on different days in the KT group, there is significant reduction in swelling (p < 0.05) compared to the other group. Conclusion Therefore, KT is a holistic, minimally invasive, economical approach which is improves patients’ quality of life without the adverse effects of drugs. How to cite this article Dutta A, Gopinath al, Reyazulla MA, Ramesh K, Srivastava S, Agarwal S. Kinesiologic Tape Breaking the Traditional Pharmacologic Management of Postoperative Morbidity. World J Dent 2015;6(4):199-202.


2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 47-47
Author(s):  
Vlad Covrig ◽  
◽  
Cristian Budacu ◽  
Beatrice Ioan ◽  
◽  
...  

"The face is the feature which best distinguishes a person, the shape of it being influenced by the bone-structure of the skull. Facial trauma, known as maxillofacial trauma, is any physical trauma to the face that can involve soft and hard tissue having the potential to cause disfigurement. The last resort solution after major facial trauma, when conventional reconstruction techniques have failed is now represented by face transplant. The aim of this paper is to underline the life quality and psychological implication of patients that were face transplanted. Our material and method involved studying the most relevant medical literature for this issue and also using our personal experience of patient with face cancer that underwent radical oncological surgery followed by reconstruction. Based on these data we can conclude that face transplantation appears to decrease depression and to improve patient’s quality of life and societal reintegration. Also, in our opinion a very important factor involving the success of face transplantation is represented by the psychological outcomes of the patients, their follow up for a minimum 6 months period with regular psychological counselling sessions being very important. Furthermore, there is a critical need for modification of existing rating scales to allow effective assessment of face transplant candidates before and after transplantation. "


2010 ◽  
Vol 43 (02) ◽  
pp. 200-205 ◽  
Author(s):  
Avinash De Sousa

ABSTRACTThe face is a vital component of one's personality and body image. There are a vast number of variables that influence recovery and rehabilitation from acquired facial trauma many of which are psychological in nature. The present paper presents the various psychological issues one comes across in facial trauma patients. These may range from body image issues to post-traumatic stress disorder symptoms accompanied by anxiety and depression. Issues related to facial and body image affecting social life and general quality of life are vital and the plastic surgeon should be aware of such issues and competent to deal with them in patients and families.


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