| JNDA Vol. 11 No. 1 (January - June 2010) | |
Management outcomes of zygomatico-maxillary complex fracture |
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| Nyachhyon P, Shah SAA | |
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| Abstract | |
The aim of this study was to evaluate the management options and the outcomes in different patterns of zygomatico-maxillary complex fractures. Methods: A total of 50 zygomatic fractures were included in this prospective study conducted at de’Monmorency College of Dentistry, Lahore. Different patterns of zygomatic complex fractures were assessed and each case was managed accordingly. Patients were followed up for 2 months. The management outcomes of zygomatic complex fractures were assessed. Results: Less than one fifth of the patients (14%) did not require any surgical intervention. Closed reduction was the most used method (54%) whereas open reduction and internal fixation was done in one fourth of the patients. Persistent inferior orbital nerve dysfunction was seen postoperatively in 48%, facial deformity in 18% and persistent diplopia in 6%. Maxillary sinusitis (10%) was seen frequently in patients treated with antral pack. Conclusion: Considerable number of patients do not require active surgical treatment. Indirect reduction technique is a relatively simple procedure, cost effective and commonly used but associated with high incidence of postoperative facial deformity. Open reduction and internal fixation is advocated for the unstable, markedly displaced or comminuted fracture; yields better stabilization of the fracture and hence has better aesthetic and functional results. |
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| Keywords | |
Zygomatico-maxillary complex, Zygomatic fracture pattern, Treatment modalities, Management outcomes |
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