Analysis of Outcome of Zygomatic Fracture Management
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Introduction: The zygomaticomaxillary complex is an important functional and esthetic landmark of midface, and it provides prominence to the cheek. Aim: The aim of this study is to evaluate the clinical and radiological features of zygoma fractures and to analyze the functional and esthetic outcome of zygoma fracture management. Materials and Methods: This study includes 37 cases undergone zygomaticomaxillary complex fractures. Patients were divided into six groups according to Knight and North classification. Functional sequelae, namely, trismus and infraorbital anesthesia and esthetic sequelae, namely, malar asymmetry and orbital dystopia were recorded, and computed tomography (CT) scan of facial bones was done. Results: Trismus was the most common symptom (67%). Malar asymmetry was the most common esthetic abnormality (83%). The predominant fracture type based on Knight and North was Group III (displaced but unrotated fracture) in 35% of patients. The most common procedure was 2-point fixation (35%). Post-operatively, trismus improved in 80%, infraorbital anesthesia in 63%, malar asymmetry in 64%, and orbital dystopia in 50%. The most common complication was plate extrusion. Conclusion: Zygoma fractures result in significant functional and esthetic sequelae. Mode of management depends on clinical and radiological features. CT scan axial and coronal section of facial bones shows the severity of fractures not all patients need operative intervention.
Authors and Affiliations
R Senthilkumar, S Prakash, Heber Anandan
Keywords
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