scholarly journals Comparison of One Point Fixation Vs Two Point Fixation in the Treatment of Zygomatico Maxillary Complex Fractures.

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.

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.


2019 ◽  
Vol 68 (1) ◽  
Author(s):  
Pedro H. da Hora Sales ◽  
Raquel B. Vasconcelos ◽  
Raíssa F. Papaléo ◽  
Leonardo de Freitas Silva ◽  
Daniel F. da Silveira Santos

2021 ◽  
pp. 000313482110505
Author(s):  
Bryce M. Ingram ◽  
Christina M. Colosimo ◽  
John S. Weaver ◽  
Caleb J. Mentzer ◽  
James R. Yon

Bear attacks are rare, although global incidents have been increasing. Injury patterns of bear attacks against humans consistently include injuries to the face, head, neck, chest, and upper extremities. Here, we have a brief report of a 59-year-old male hunter who was attacked by a grizzly bear in Wyoming. He sustained multiple lacerations to his face which included an avulsion of his nose and upper lip, as well as extensive associated facial fractures. Additional injuries included soft tissue and bony injuries to the upper extremities. He underwent 53 operations during his first hospitalization, primarily of facial reconstruction, which required nose and upper lip replant to his arm. His course was complicated by pressure ulcers, bacteria, acute kidney injury, and a urinary tract infection. After successful coordinated multidisciplinary care and a prolonged hospitalization, he was ultimately discharged to his home.


Author(s):  
Pradeep Acharya

Zygomatic arch fractures are the most common facial fractures or second in frequency after the nasal fractures. The high incidence of zygomatic fractures probably relates to its prominent position in the facial skeleton hence it is frequently exposed to fractures.


2012 ◽  
Vol 94 (4) ◽  
pp. e157-e158 ◽  
Author(s):  
MK Singh ◽  
K Shekar ◽  
T Flood ◽  
A Greenstein

Zygomatic complex fractures make up approximately 60% of facial fractures. The vast majority treated surgically use titanium miniplates. These require longer operating times and facial incisions to access the fracture. The use of a K-wire was first described 60 years ago. As a new generation of surgeons emerges, it is important to be aware of the various techniques available to increase their surgical armamentarium. One of its benefits is that it has a significantly reduced operative time and does not require any incisions.


1986 ◽  
Vol 95 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Peter J. Koltai ◽  
Gary W. Wood

Despite advances in radiology—including CT scanning—the three-dimensional (3D) nature of facial fractures must still be inferred by the spatial imagination of the physician. A computer system (Insight Phoenix Data Systems, Inc., Albany, N.Y.) uses CT studies as substrate for 3D reconstructions. We have used the insight computer for the evaluation and surgical planning of facial fractures of 16 patients with complex injuries. We present five illustrative cases, directly photographed from the computer monitor. Images can also be manipulated in real time by rotating or planar sectioning (functions best appreciated on video). The ability to cybernetically extract the facial skeleton from living subjects provides precise anatomic data previously unobtainable. The images are valuable for an accurate assessment of the relationship between the injured and uninjured sections of the face. We conclude that 3D reconstruction is an important advance in the treatment of facial fractures.


2017 ◽  
Vol 1 (86) ◽  
pp. 24-31
Author(s):  
R.B. Dias ◽  
N.P. Coto ◽  
G.F. Batalha ◽  
L. Driemeier

Purpose: This study aims to provide a systematic evaluation of the EVA application in orofacial protectors while focusing on sports. Design/methodology/approach: The research comprises a numerical analysis. During experimental tests, EVA was analysed in special more specific studies about its influence on the mechanical behaviour of EVA were performed. In the numerical analyses of the EVA orofacial protector, the studies focused on its effect in the zygomatic bone protection, in a simplified geometry. Findings: According to the experimental and numerical results from a systematic study of EVA, its application to orofacial protection can be considered satisfactory. Research limitations/implications: The limitations for this research is the complex geometry of the face, number of materials and parameters involved in this study. Practical implications: For facial protection, a better performance is obtained with a combination of rigid and soft EVA material. Particularly for the zygomatic bone, a 3 mm thick plate of soft EVA overlapped by a 1 mm thick plate of rigid EVA is indicated. Originality/value: The studies made for this researchers group show that the EVA use in facial protection for sports is effective.


Author(s):  
Abbas Karimi ◽  
Ehsan Shoohanizad

The face symmetry has prominent role in the human body after injuries and accident. The zygomatic region is important factor in the injuries face. Due to its location, its fracture is the 2nd frequent fractured bone of mid-facial. Zygomatic bone fractures are more abundant in young males and its incidence and etiology is different based on location. Post-traumatic facial deformity is the most incorrect reconstruction of the facial skeleton. Inadequate healing of the supported soft tissues lead to malposition of landmarks, shrinkage and thickening. The zygomatic bone fracture and coronoid process impingement lead to restricted mouth opening. Interruption in zygomatic position has psychological, aesthetic and functional effects which impairs the function of mandible and ocular tissue. Therefore, diagnose and properly management of the zygomatic bone injury is important. Healing displaced fragments of zygomatic bone after inadequate fixation and reduction of fracture consequences facial asymmetry. There is a lack of information about evaluation of benefits and costs of different zmc fracture methods. So, this literature review was done to characterize the etiology, incidence, clinical findings and results of different treatment trends of zygomaticomaxillary complex fractures. Surgeons have been utilized numerous approaches, but there are different ideas for the best one.


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.


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