Minimization of zygomatic complex fracture treatment

• Published in: International journal of oral and maxillofacial surgery 2001-10, Vol.30 (5), p.380-383
• Main Authors: Kovács, A.F., Ghahremani, M.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Biological and medical sciences; Bone Plates; Dentistry; Diagnosis, Differential; Diplopia - etiology; Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology; Female; Fracture Fixation, Internal - instrumentation; Fracture Fixation, Internal - methods; fracture treatment; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics; Humans; Male; Maxillofacial surgery. Dental surgery. Orthodontics; Medical sciences; Middle Aged; minimally invasive; Minimally Invasive Surgical Procedures; Orbital Fractures - classification; Orbital Fractures - complications; Orbital Fractures - diagnosis; Prospective Studies; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; surgical procedures; Terminology as Topic; Traumas. Diseases due to physical agents; zygomatic complex; zygomatic fractures; Zygomatic Fractures - classification; Zygomatic Fractures - complications; Zygomatic Fractures - surgery
• ISSN: 0901-5027; 1399-0020
• DOI: 10.1054/ijom.2001.0131

The aims of this non-randomized prospective study were to establish and justify minimized therapy for zygomatic complex fractures. Fifty-two consecutive patients were examined and classified with conventional routine radiographs. Preoperative symptoms were recorded. Treatment of zygomatic fractures was by percutaneous hook reduction and miniplate fixation along the frontozygomatic suture. Exploration of the orbital floor was carried out only in cases of primary diplopia or comminuted fractures. Postoperatively, patients were followed for 12 months. Clinical and radiologic assessment of reduction was symmetric and stable in all cases. Preoperative symptoms disappeared completely except for sensitivity disturbance in five patients. Patients with no post-trauma diplopia did not develop eye motility disturbances or enophthalmos. The treatment of a zygomatic fracture is possible by the described technique. Exploration of the orbital floor is indicated only in cases of preoperative diplopia. Therefore, a patient with a zygomatic fracture and diplopia should be classified as having a orbitozygomatic fracture. In cases of comminuted fractures, exploration of the orbital floor remains mandatory.