scholarly journals Isolated Zygomatic bone fracture: assessment of outcome by two point fixation.

2020 ◽  
Vol 27 (02) ◽  
pp. 246-250
Author(s):  
Khushboo Abdullah ◽  
Muhammad Shahzad ◽  
Abdul Wahid Bhangwar ◽  
Syed Ghazanfar Hassan ◽  
Suneel Kumar Panjabi
Keyword(s):  
Bone Fracture ◽  
Road Traffic ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
P Value ◽  
Zygomatic Bone ◽  
Significant Difference ◽  
Qualitative Variables ◽  
Fracture Study

Objectives: The purpose of the present study was to assess the outcome of two-point fixation in isolated zygomatic bone fracture. Study Design: Descriptive study. Setting: Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, LUMHS, Jamshoro/Hyderabad. Period: From 1/3/2018 to 31/8/2018. Material & Methods: Consisted of 46 patients with displaced isolated zygomatic bone fractures. All fractures were treated by reduction with transoral (Keen’s) approach & fixation was done by two point fixation with titanium miniplates. Patient was discharged from the hospital next day & advised follow-up after two weeks. Mean ± St & ard deviation was computed for qualitative variables. Diplopia was described in frequencies. Mouth opening was measured on 7th day or 1 month & measured in 1mm by metallic ruler. T-test was applied to find the P Value. Results: There were 34 male & 12 female patients. 56.5% injuries were caused by road traffic accident. Mean mouth opening at 1st week was 25.23±5.15mm & at 2nd week was 38.75±2.00 mm. At 1st week diplopia was found in 26.1% subjects while at 2nd week, diplopia was found in 10.9% subjects. There was significant difference in mean mouth opening at 1st week with 2nd week. The results also showed significant association of diplopia at 1st week with 2nd week. Conclusion: isolated zygomatic fractures can be reduced & immobilized by two-point fixation with screws & titanium mini bone plates at frontozygomatic & the zygomatic buttress area. Post-operative complications i.e. opening of mouth & diplopia were suggestively decreased afterward 15 days of treatment.

Reduction of Zygomatic Bone Fracture by Two Different Treatment Protocols

2021 ◽  
Keyword(s):  
Bone Fracture ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
University Hospital ◽  
Treatment Protocols ◽  
Zygomatic Bone ◽  
Significant Difference ◽  
Group A ◽  
Male Patients ◽  
Group B

Background: Zygomatic bone, a malar bone or cheekbone usually works as eye socket. All over the world, around 15 to 20 million people are traumatized with road accidents. Over 50% of these statistics are diagnosed with zygomatic fractured bone. There are different approaches of therapy to treat zygomatic fractured bone. In this research, two approaches have been studied. The Percutaneous Hook approach is extraoral while Keen’s approach is intraoral. The objective of this study was to evaluate outcomes of two different treatment protocols (percutaneous bone hook method and Keen’s method) for reduction of zygomatic bone fracture. Methods: This comparative analytical study conducted at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Liaquat University Hospital, Hyderabad, Pakistan. Subjects with displaced isolated zygomatic bone fracture were divided in two groups, Group A (Percutaneous Hook Method) and Group B (Keen’s Method). The data was analyzed through SPSS and p<0.05 was considered as statistically significant. Results: Males were predominantly affected in both groups as compared to females i.e., Group A male patients were 22(73.52%) while in Group B male patients were 23(79.41%). Road traffic accidents were the most common etiological factor in both groups. There was a significant difference between the groups in diplopia, cheek flattening and mean mouth opening at postoperative 2nd, 4th and 6th week. The obtained p-value=0.01 was less than 0.05; therefore, the results were statistically significant. Conclusion: It was observed that percutaneous hook method had better outcomes compared to Keen’s method in reducing isolated zygomatic bone fracture. Keywords: Bone Fracture; Treatment Protocols; Zygoma.

scholarly journals Patterns of Facial Bone Fractures in Western Region of Nepal

2018 ◽  
Vol 6 (1) ◽  
pp. 5-7
Author(s):  
Rishi Bhatta ◽  
Manita Pyakurel ◽  
Namdeo Prabhu ◽  
Niva Kansakar
Keyword(s):  
Bone Fracture ◽  
Road Traffic ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Physical Assault ◽  
Western Region ◽  
Facial Bone ◽  
Cross Sectional ◽  
Zygomatic Bone ◽  
Male Patients

Objective: The aim of this study was to determine pattern of facial bones fracture in western region of Nepal.Material and Methods: A descriptive cross sectional study was carried out in department of ENT, Nepalgunj medical college, Nepalgunj. Records from emergency department, inpatient ward and OPD of ENT and dental department of last 3 years (Jan 2012 to Dec 2014) were enrolled in the study and entered into proforma.  Comparison was done between mode of injury, demography and types of injuries. Data was analyzed using SPSS 17 software.Results: Out of included 626 cases, there were 410 male patients and 216 female patients. Age ranged from 3 to 68 years with average age being 32.4 years. Most of the male patients sustained trauma due to road traffic accidents (51.7%) followed by physical assault (23.9%). In female also same mode of injuries were common with higher proportion due to physical assault. Majority of cases were from Midwestern Terai region (35.4%). There were 288(46.0%) cases with isolated facial bone fracture. The maximum was that of mandibular fracture (29.1%) followed by nasal bone fracture (27.7%) and maxilla (24.3%). Rest of 338 patients had multiple facial bone fractures with zygomatic bone fracture (79.2%) being commonest. It was followed by maxilla (64.4%) and mandible fracture (36.6%). The overall frequency of fracture is mainly involving zygomatic bone (49.5%) followed by maxilla (46.0%) and mandible (33.2%).Conclusion: Middle aged male patients are usually involved in facial bone fractures with road traffic accident and physical assault being common modes of injury. Zygomatic bone is the commonest bone to get fractured in isolated cases while mandible is commonest bone to get fractured in multiple fracture cases.Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015  

scholarly journals Etiologies of zygomatic bone fracture at a tertiary care hospital of South Punjab, Pakistan

2020 ◽  
Vol 9 (1) ◽  
pp. 45
Author(s):  
Usman Qadir Khan ◽  
Qaimuddin Shaikh ◽  
Zahoor Ahmed Rana ◽  
Shazia Shabnum ◽  
Nadia Ambreen ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care Hospital ◽  
Bone Fractures ◽  
Tertiary Care ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Zygomatic Bone ◽  
Personal Violence

Background: Fracture of the zygomatic bone is a frequent maxillofacial trauma, due to its distinction which influences it to bear the brunt of facial trauma but its pattern seems to vary geographically. This study was planned to find out etiologies of zygomatic bone fracture at a tertiary care hospital of South Punjab, Pakistan.Methods: This descriptive observational study was conducted at The Department of Oral and Dental Surgery, Shaikh zayed Medical College Hospital Rahim Yar Khan, Pakistan, from July December 2017. A total of 114 patients with isolated tripod zygomatic bone fracture were enrolled. Demographic characteristics of the patients along with etiologies of zygomatic bone fracture were recorded.Results: Out of a total of 114 patients having zygomatic bone fractures, there were 85 (74.6%) male. Majority of the patients, 58 (50.9%) were aged between 21 to 30 years, 78 (68.4%) belonged to rural areas, 42 (36.8%) laborers while socio-economic class of 66 (57.9%) patients was recorded to be middle income. Road traffic accidents were the commonest, seen among 48 (42.1%) patients followed by inter-personal violence and falls, noted among 26 (22.8%) and 17 (14.9%) patients respectively.Conclusions: Zygomatic bone fractures were most commonly seen among male gender and young age groups. Road traffic accidents and inter-personal violence were the most commonly noted etiologies in the present study.

Mandibular Bone Fractures in elderly patients with reference to etiology of trauma

2021 ◽  
Vol 15 (8) ◽  
pp. 1920-1922
Author(s):  
Nabeela Riaz ◽  
Samreen Younas ◽  
Ijaz Ur Rehman ◽  
Ahmad Abdul Haseeb ◽  
Saba Hanif ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Financial Burden ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Mandibular Bone ◽  
Mandibular Injuries

Aim: to explore the mandibular bone fractures in elderly patients with reference to etiology of trauma. Methodology: This was a descriptive study conducted in the department of Oral and Maxillofacial Surgery KEMU/ Mayo Hospital Lahore. Elderly patients (age 60-100years) with mandibular bone fractures. Results: Aetiology of trauma leading to mandibular fractures was as follows; there were 79(65.83%) cases of RTA, 32(26.66%) falls, 4(3.33%) assaults and there were only 3(2.5%) cases of industrial injury. Conclusion: To conclude, this study depicts that road traffic accidents were the predominant cause of injury in the studied age group. Elderly patients need more care and attention, especially after traumatic incidents and lead to financial burden in hospitals Keywords: Maxillofacial trauma, Elderly population, Mandibular injuries, Elderly fractures

scholarly journals Interrelation between facial soft tissue lessions, underlying fracture patterns and treatment of zygomatic bone trauma: a 10 year retrospective study

2020 ◽  
Author(s):  
Juncar Raluca Iulia ◽  
Paul Andrei Tent ◽  
Juncar Mihai ◽  
Arghir Ioan Anton ◽  
Arghir Cristina Oana ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Fracture Pattern ◽  
Oral And Maxillofacial Surgery ◽  
Facial Soft Tissue ◽  
Nominal Data ◽  
Correct Treatment ◽  
Zygomatic Bone ◽  
Zygomatic Fracture

Abstract Background: The pattern of zygomatic bone fractures varies in the literature, their features being frequently masked by the presence of associated soft tissue lesions. In this context the clinical diagnosis and the therapeutic indications can be difficult. The aim of this study was to evaluate the clinical features of zygomatic bone fractures and their interrelation with concomitant overlying soft tissue injuries, as well as to assess the type of treatment methods applied depending on the fracture pattern and the results achieved depending on the incidence rate of postoperative complications. We will use these results in order to improve the diagnosis and the establishment of correct treatment of this pathology. Methods: A 10-year retrospective evaluation of midface fractures was performed in patients diagnosed and treated in a tertiary Clinic of Oral and Maxillofacial Surgery. Statistical analysis was performed with the MedCalc Statistical Software version 19.2 (MedCalc Software bvba, Ostend, Belgium;53 https://www.medcalc.org; 2020). Nominal data were expressed as frequency and percentage. The comparisons of the frequencies of a nominal variable among the categories of another nominal variable were made using the chi-square test. Multivariate logistic regressions were used in order to establish the independent association between variables and lacerations/excoriations. After using the Bonferroni correction for multiple comparisons, a value of p<0.025 was considered statistically significant.Results: The study included 242 patients with zygomatic bone fractures. The majority of the fractures were displaced n=179 (73.9%), closed n=179 (73.9%) and complete n=219 (90.5%). Hematoma was the most frequent associated soft tissue lesion n=102 (42.1%) regardless of the fracture pattern (p=1.000). Complete zygomatic fracture (OR – 2.68; p=0.035) and fractures with displacement (OR – 3.66; p=0.012) were independently associated with the presence of laceration. Fractures with displacement (OR – 7.1; p=0.003) were independently associated with the presence of excoriation. The most frequent type of treatment applied was Gillies reduction (61.9%), followed by ORIF (30.9%). The most frequent postoperative complication was malunion secondary to Gillies treatment (4,6%). Conclusions: Patients presenting lacerations and excoriations on clinical soft tissue examination will most frequently have an underlying complete, displaced or comminuted zygomatic fracture. In the case of displaced, open or comminuted fractures we achieved the best results secondary to ORIF treatment method, while in the case of non-displaced and closed fractures, the best results achieved were secondary to conservative treatment.

scholarly journals Iranian Dental Students and Specialists Knowledge and Attitude about Obstructive Sleep Apnea

2020 ◽  
Author(s):  
Shervin Shafiei ◽  
Ahmad Sofi-Mahmudi ◽  
Mohammad Behnaz ◽  
Hannaneh Safiaghdam ◽  
Soroush Sadr
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Maxillofacial Surgery ◽  
Dental Students ◽  
P Value ◽  
Oral And Maxillofacial Surgery ◽  
Oral Medicine ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
Knowledge And Attitude

Introduction: Obstructive sleep apnea is a relatively common sleep disorder, which leads to multiple sleep arousal and hypoxemia. It also has a significant socioeconomic impact. Dentists can have a role in screening as well as treating apnea by orthodontic devices. No study has evaluated the knowledge and attitude of dental health professionals about obstructive sleep apnea (OSA) in Iran. We aimed to measure knowledge and attitude among students and faculty members of Shahid Beheshti Dental School, Tehran, Iran about OSA. Materials and Methods: We conducted a cross-sectional survey among residents and professors in oral and maxillofacial surgery, orthodontics, and oral medicine specialties and dental students. The Obstructive Sleep Apnea Knowledge and Attitude (OSAKA) questionnaire was used to obtain the information regarding knowledge and attitude. We used Chi-square, Kruskall Wallis, Mann-Whitney U test for statistical analysis. The data were analyzed by SPSS 22.0 and a p-value lower than 0.05 considered to be significant. Results: One hundred ninety-seven participants, including 43 dental students, 68 dental residents, and 64 dental professors filled the survey. Mean knowledge score among all participants was 10.69 (SD=3.133). Overall, oral medicine and oral and maxillofacial surgery professors had significantly higher correct answer ratios in the knowledge section than fifth and sixth-year dental students (p<0.001). There was no significant difference among other groups (p>0.05). About attitude, 91% of respondents reported that OSA is an important or extremely important disorder. However, only 10.2% and 16.9% felt confident about the ability to manage patients with OSA and identifying patients at risk for OSA, respectively. Conclusion: All of the participants had poor knowledge but a positive attitude towards OSA. This shows the necessity of better education about OSA.

scholarly journals Knowledge and Self-Perceived Confidence Level in Oral and Maxillofacial Surgery among Dental Interns in Riyadh

2021 ◽  
Author(s):  
Alhanouf Alhulayyil ◽  
Lujain Alsaleh ◽  
Saba Alshareef ◽  
Lubna Elsayed ◽  
Mamata Hebbal
Keyword(s):  
Saudi Arabia ◽  
Informed Consent ◽  
Surgical Procedures ◽  
Confidence Level ◽  
Maxillofacial Surgery ◽  
P Value ◽  
Cross Sectional ◽  
Significant Difference ◽  
Study Population ◽  
Dental Schools

Introduction: Minor oral surgical procedures are practiced in dental teaching. Interns are required to be competent, well-prepared and acknowledge its basics before their practice. Lack of training and knowledge could lead to serious consequences during clinical practice. Aim: To assess the knowledge and confidence level between male and female dental interns in private and governmental Riyadh dental schools in performing simple dento-alveolar procedures. Materials and Methods: A cross-sectional observational study was conducted at Princess Nourah bint Abdulrahman University in Riyadh, Saudi Arabia in January 2020 among dental interns from all Riyadh dental schools. A cross-sectional survey containing 23 items was used. The first part included the informed consent and demographic data (item 1-3). The second part consisted of 10 case scenarios to assess the knowledge level (item 4-13), and the third part was developed to self-rate their confidence level (item 14-23). Around 300 participants belonging to five Riyadh dental schools comprised the study population. All interns were included in the study after obtaining informed consent. All statistical analyses were performed using Statistical Package for the Social Sciences (SPSS) version 21.0 and Microsoft Excel 16.16. Groups were compared using Pearson chi-square and unpaired sample t-test. The p-value of <0.05 was considered statistically significant. Results: Out of 300 interns invited to participate, 210 submitted the electronic survey (70%). The final study population included 117 (56%) females and 93 (44%) males. A total of 111 (53%) belonged to governmental college, and 99 (47%) belonged to private college. There was no statistically significant difference between females and males in total knowledge (p<0.272) and confidence score (p<0.850), respectively. However, a statistically significant difference in knowledge and confidence between government and private colleges was found (p<0.001). A weakly positive significant correlation (r=0.217, p=0.002) was found between the total score of knowledge and the total score of confidence in performing surgical procedures. Conclusion: The study provides baseline data on the knowledge and perceived confidence of dental interns in Saudi Arabia about certain clinical procedures in oral surgery, where respondents were most knowledgeable in prescribing an appropriate medication. They were confident in giving effective local anaesthesia. All in all, interns had a superficial knowledge about the classification of impacted teeth and they were least confident in managing cases of an intraoral abscess.

scholarly journals The Management of Zygomatic Complex Fractures: A Review

2019 ◽  
pp. 1-6
Author(s):  
Abbas Karimi ◽  
Ehsan Shoohanizad
Keyword(s):  
Soft Tissues ◽  
Bone Fractures ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Clinical Findings ◽  
Ocular Tissue ◽  
Facial Skeleton ◽  
Young Males ◽  
Zygomatic Bone ◽  
Complex Fractures

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.

scholarly journals Effectiveness of Closed Reduction in the treatment of nasal bone fractures

2021 ◽  
Vol 23 (1) ◽  
pp. 37-40
Author(s):  
Brihaspati Sigdel ◽  
K Sah
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Nasal Bone ◽  
College Teaching ◽  
Road Traffic Accidents ◽  
Functional Abnormality ◽  
Nasal Injury

This study was conducted to investigate the effectiveness of closed reduction of nasal bone fracture according to severity. It was a retrospective study carried on 60 patients with mean age of 30.2 years (range 10-67 years) who have undergone a closed reduction of a nasal bone fracture at Gandaki Medical College Teaching Hospital from January 2017 to December 2019. The patient with nasal bone fracture who underwent surgical intervention with closed reduction under General anaesthesia were included in this study. Fracture severity was evaluated according to Hwang et al.’s classification method. All patients underwent closed reduction with external nasal splinting under General anesthesia. The patients were followed-up for at least three months to assess the complications, such as fracture recurrence and functional abnormality in the Department. The most common cause of nasal bone fracture was road traffic accidents 25 (41.6%) followed by physical assaults 18 (30%), fall injuries 12 (20%), other incidences 3 (5%), and industrial accidents 2 (3%). Forty-three (72%) cases underwent closed reduction within 24 hours of those who arrived within 4-6 hour of nasal injury in the hospital and the remaining 17 (28%) cases were reduced after 5 days of trauma. Concurrent fracture found in 8 (13%) cases and it included maxillary, zygomatic, orbital, frontal bone fracture. Nasal bone fracture mostly occurs in road traffic accidents. Closed reduction with good alignment is the preferred method. Septorhinoplasty and extracorporeal septoplasty should be applied in difficult and comminuted nasoseptal fracture.

scholarly journals IMPACTED MANDIBULAR THIRD MOLAR SURGERY;

2014 ◽  
Vol 21 (06) ◽  
pp. 1272-1278
Author(s):  
Muhammad Ilyas Shaikh ◽  
Safia Khatoon ◽  
Fozia Rajput, ◽  
Syed Yousif Ali Shah
Keyword(s):  
Social Life ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Mouth Opening ◽  
Third Molar Surgery ◽  
Control Group ◽  
Random Allocation ◽  
Significant Difference ◽  
Facial Swelling ◽  
And Gender

Objective: The objective of this study was to evaluate the therapeutic effect of dexamethasone in post-operative edema and trismus after impacted third molar surgery. Materials & Methods: It was a prospective randomized control study carried in Department of Oral & Maxillofacial surgery, BADC, Larkana from March 2012 to Feb 2013. Patients age between 20-45 years of either gender; unilateral mandibular impacted third molars (right or left) were included. Patients divided in two groups by using random allocation number. Patients in Group-A were given intramuscular 8 mg dexamethasone 1 hour before surgery and four tablets (2mg) dexamethasone orally immediate postoperatively and 24 hours after surgery. The facial swelling was checked before surgery, after 24 hours (1st day), after 48 hours (2nd day), after 72 hours (3rd day) and on 7th postoperative day Inter-incisor distance was checked on every follow up. Data was analyzed by SPSS version 17. Mean and standard deviation was calculated for age and gender. Mean and SD of facial swelling and mouth opening was calculated before extraction, on 1st, 2nd, 3rd and on 7th post-operative day in both groups. Results: The dexamethasone group showed significant reduction in swellingcompared with control group at all intervals. Dexamethasone resulted in significantly less trismus than controls on day 2 postoperatively, but there was no significant difference among the groups at 7thday. Conclusions: Dexamethasone is effective in minimizing swelling and trismus after removal of impacted lower third molar and improves the social life of individual.

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