scholarly journals Management of Unilateral Zygomaticomaxillary Complex Fracture - A Case Report

2021 ◽  
Vol 10 (35) ◽  
pp. 3070-3073
Author(s):  
Vybhavi M. K. ◽  
Prashanth V. ◽  
Srinivas V.
Keyword(s):  
Surgical Intervention ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Surgical Approaches ◽  
Complex Fracture ◽  
Complex Fractures ◽  
Maxillofacial Fractures ◽  
Zygomaticomaxillary Complex Fracture ◽  
Comminuted Fractures ◽  
Zygomaticomaxillary Complex

Zygomaticomaxillary complex (ZMC) fractures are relatively common. Zygomatic complex fractures with functional or aesthetic impairments often require surgical intervention. Treatment of ZMC fractures consists of reduction and fixation of the dislocated bone fragments to their original location. The zygomaticomaxillary complex functions as a major buttress for the face and because of its prominent convex shape, is frequently involved in facial trauma.1 ZMC fractures are also called tripod, tetrapod, quadripod, malar or trimalar fractures. They account for approximately 15 % - 23.5 % of maxillofacial fractures.2,3 The aetiology of zygomatic complex fractures primarily includes road traffic accidents (RTA), violent assaults, falls and sports injuries. They are the second most common facial fracture after nasal bone fractures.3-6 ZMC fractures are more common in men than women, and most commonly occur in the third decade of life.7-10 The main clinical features of zygomatic complex fractures include diplopia, enophthalmos, subconjunctival ecchymosis, extraocular muscle entrapment, cosmetic deformity, malocclusion and neurosensory disturbances of the infra-orbital nerve.10 The gold standard radiological investigation for evaluation of ZMC fractures is computed tomography (CT) scan. Surgical intervention is effective in cases of displaced and comminuted fractures involving functional and aesthetic defects, whereas a nonsurgical approach is often used for non-displaced fractures.11 Various surgical approaches and treatment strategies have been proposed to obtain a successful treatment outcome. Based on review of literature, it has been observed that the open reduction with internal fixation using mini plates and screws is the most commonly preferred treatment for displaced and comminuted fractures.10-12 Here, we report a clinical case of right zygomaticomaxillary complex fracture and its management.

Intraoperative use of C-Arm as an Aid in Reduction of Zygomatic Complex Fractures

2010 ◽  
Vol 1 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Tejraj Pundalik Kale ◽  
Abhishek Balani ◽  
SM Kotrashetty ◽  
SD Baliga
Keyword(s):  
Image Intensifier ◽  
Functional Results ◽  
Acceptable Limit ◽  
Complex Fracture ◽  
Complex Fractures ◽  
Zygomaticomaxillary Complex Fracture ◽  
Zygomaticomaxillary Complex ◽  
Maximum Discrepancy

ABSTRACT To monitor the efficacy of C-Arm as a intraoperative tool in reduction of zygomatic complex fractures. 15 patients with isolated zygomaticomaxillary complex fracture, were selected for reduction of the same. C-Arm (image intensifier) images were taken intraoperatively. Standardization of all postoperative radiographs were done to evaluate the discrepancy in reduction. The maximum discrepancy after analysis of postoperative radiographs was within 2 mm, which was considered as acceptable limit. Thus, C-Arm is considered a useful tool for reduction of zygomatico-maxillary complex fractures with enhanced postoperative esthetics and functional results.

scholarly journals Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center

2014 ◽  
Vol 3 (2) ◽  
pp. 53-58
Author(s):  
A Sagayaraj ◽  
Rijo M Jayaraju ◽  
Mallika P Reddy ◽  
KR Harshitha ◽  
Priyanka Majety
Keyword(s):  
Road Traffic ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Road Traffic Crash ◽  
Mandibular Fractures ◽  
Traffic Crashes ◽  
Large Variability ◽  
Road Traffic Crashes ◽  
Maxillofacial Fractures ◽  
Tertiary Center

ABSTRACT Background and objectives Road traffic crashes are reported to be the leading cause of maxillofacial fractures in developing countries. The large variability in reported incidence and etiology is due to a variety of contributing factors, including environmental, cultural and socioeconomic factors. The study aims at describing the patterns of maxillofacial fractures in road traffic crashes by clinical and radiological methods and to study the complications associated with these fractures. Materials and methods The study included 100 road traffic crash patients with maxillofacial injuries. Patients were evaluated for any maxillofacial fracture by clinical assessment and, radiologically, using plain radiographs and computed tomography scan. Results Midfacial skeleton was more prone to fractures. Isolated fractures of the maxilla was the commonest (58%) followed by nasal bone fractures (43%). Among the complex fractures, Le Fort type II was the commonest. Mandibular fractures were seen in 33% of the patients, parasymphysis being the commonest site. Majority of the patients had associated soft tissue injuries. The incidence of complications associated with maxillofacial fractures was 11%, malocclusion being the commonest. Conclusion Maxillofacial fractures are commoner in the mobile population in the most productive age group, more so in two wheeler riders causing significant morbidity and mortality. Midface region is more prone to fractures and is most of the time associated with complications. How to cite this article Jayaraju RM, Sagayaraj A, Reddy MP, Harshitha KR, Majety P. Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center. Panam J Trauma Crit Care Emerg Surg 2014;3(2):53-58.

scholarly journals Frequency of infra-orbital nerve injury after a Zygomaticomaxillary complex fracture and its functional recovery after open reduction and internal fixation

2017 ◽  
Vol 4 (2) ◽  
pp. 685 ◽  
Author(s):  
Maria Noor ◽  
Yaser Ishaq ◽  
Malik Adeel Anwar
Keyword(s):  
Internal Fixation ◽  
Nerve Injury ◽  
Open Reduction ◽  
Road Traffic ◽  
Maxillofacial Injuries ◽  
Female Ratio ◽  
Complex Fracture ◽  
Zygomaticomaxillary Complex Fracture ◽  
Nerve Recovery ◽  
Zygomaticomaxillary Complex

Background: Maxillofacial injuries are on the rise and the etiology of maxillofacial injuries varies from one country to another because of social, cultural and environmental factors. Road traffic accidents (RTAs) are still the most common cause of maxillofacial injuries. Nerve injury following fracture may involve traction, pressure, ischemia, inflammation and physical damage; therefore fractures of Zygomaticomaxillary complex (ZMC) are characterized by sensory neuropathy in the area of innervation of infra-orbital nerve both as presenting symptom and as a postop complication. The objectives of the study were to investigate the frequency of infra-orbital nerve paresthesia following ZMC fractures and determine the frequency of functional nerve recovery in patients with paresthesia treated with open reduction and internal fixation.Methods: Patients (n = 75) qualifying our inclusion criteria were selected, examined, reduced by surgery and followed up.Results: A total of 75 patients were included in the study with male: female ratio of 5:3. Mean age was 37.43±3.78 years, with majority of patients (72 %) presenting with RTAs. Infra-orbital nerve paraesthesia was found to be positive in 70.67% (n = 53) patients with 62.26% (n = 33) patients with functional nerve recovery after 3 months.Conclusions: Prognosis of infra-orbital nerve recovery after a Zygomaticomaxillary complex fracture can be enhanced by open reduction and internal fixation.

scholarly journals Surgical Methods of Zygomaticomaxillary Complex Fracture

2016 ◽  
Vol 17 (4) ◽  
pp. 206 ◽  
Author(s):  
So Young Ji ◽  
Seung Soo Kim ◽  
Moo Hyun Kim ◽  
Wan Suk Yang
Keyword(s):  
Complex Fracture ◽  
Surgical Methods ◽  
Zygomaticomaxillary Complex Fracture ◽  
Zygomaticomaxillary Complex
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