Surgical Treatment of the Zygomatico-orbital Complex Fracture
ჩამოტვირთვები
Background: The zygomatico-orbital complex is a crucial structure that forms the outer portion of the middle third of the face. Traumatic injuries to the zygomatico-orbital complex, due to their anatomical features, belong to the group of combined fractures with various possible alternative treatment tactics.
Aim: This case report highlights the surgical treatment and post-operative challenges in patients with the zygomatico-orbital complex fracture
Methods: The case of a zygomatico-orbital complex fracture was reviewed. Open reduction and fixation of fragments with a titanium plate were performed. Intraoperative photos and radiographs documented surgical progress and recovery.
Results: The postoperative recovery process, aesthetics, and function directly depend on the treatment tactics.
Conclusions: Correct diagnosis based on the results of computed tomography and the choice of treatment tactics influence the outcome and the subsequent post-operative rehabilitation period
Downloads
1. Abosadegh M, Rahman S. Epidemiology and incidence of traumatic head injury associated with maxillofacial fractures: A global perspective. Journal of International Oral Health. 2018 Mar 1;10(2):63–70. doi:10.4103/JIOH.JIOH_9_18
2. Choi SH, Gu JH, Kang DH. Analysis of traffic accident-related facial trauma. Journal of Craniofacial Surgery. 2016;27(7):1682–5. doi:10.1097/SCS.0000000000002916 PubMed PMID: 27438456.
3. Katzen JT, Jarrahy R, Eby JB, Mathiasen RA, Margulies DR, Shahinian HK. Craniofacial and skull base trauma. J Trauma. 2003;54(5):1026–34. doi:10.1097/01.TA.0000066180.14666.8B PubMed PMID: 12777923
4. Kraft A, Abermann E, Stigler R, Zsifkovits C, Pedross F, Kloss F, et al. Craniomaxillofacial Trauma: Synopsis of 14,654 Cases with 35,129 Injuries in 15 Years. Craniomaxillofac Trauma Reconstr. 2012 Mar;5(1):41–9. doi:10.1055/S-0031-1293520
5. Laine FJ, Conway WF, Laskin DM. Radiology of maxillofacial trauma. Curr Probl Diagn Radiol. 1993;22(4):148–88. doi:10.1016/0363-0188(93)90019-P PubMed PMID: 8359033.
6. Malick R, Sham ME, Menon S, Kumar V, Archana S, Mathews S. Ophthalmic Complications Associated with Zygomatic Complex Fractures: A Randomised Descriptive Clinical Study. J Maxillofac Oral Surg. 2022 Jun 1;21(2):386–95. doi:10.1007/S12663-020-01441-9 PubMed PMID: 35712442.
7. Moreira Marinho RO, Freire-Maia B. Management of fractures of the zygomaticomaxillary complex. Oral Maxillofac Surg Clin North Am. 2013 Nov;25(4):617–36. doi:10.1016/j.coms.2013.07.011 PubMed PMID: 24055372.
8. Patil SG, Kotwal IA, Joshi U, Allurkar S, Thakur N, Aftab A. Ophthalmological Evaluation by a Maxillofacial Surgeon and an Ophthalmologist in Assessing the Damage to the Orbital Contents in Midfacial Fractures: A Prospective Study. J Maxillofac Oral Surg. 2016 Sep 1;15(3):328–35. doi:10.1007/s12663-015-0844-8 PubMed PMID: 27752202.
9. Raghoebar II, Rozema FR, de Lange J, Dubois L. Surgical treatment of fractures of the zygomaticomaxillary complex: effect of fixation on repositioning and stability. A systematic review. British Journal of Oral and Maxillofacial Surgery. 2022 May 1;60(4):397–411. doi:10.1016/j.bjoms.2021.07.006 PubMed PMID: 35272868.
10. Shabbir M, Shah R, Ahmad M, Issrani R, Khan Z, Nazal Alotha S, et al. Frequency of Diplopia in Zygomatic Complex Fractures-A Cross-Sectional Descriptive Study. Int J Dent. 2023;2023. doi:10.1155/2023/7631634 PubMed PMID: 38021347
11. Siber S, Matijević M, Sikora M, Leović D, Mumlek I, Macan D. Assessment of Oro-Maxillofacial Trauma According to Gender, Age, Cause and Type of the Injury. Acta Stomatol Croat. 2015;49(4):340. doi:10.15644/ASC49/4/10 PubMed PMID: 27688419.
საავტორო უფლებები (c) 2026 ქართველი მეცნიერები
ეს ნამუშევარი ლიცენზირებულია Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 საერთაშორისო ლიცენზიით .
