Ashish Chakranarayan1, G K Thapliyal, R Sinha, Menon P Suresh. 1. Oral and Maxillofacial Surgery, INHS Kalyani, Vishakhapatnam, India ; Oral and Maxillofacial Surgery, INHS Kalyani, Eastern Naval Command, Vishakhapatnam, 530005 Andhra Pradesh India.
Abstract
PURPOSE: To evaluate the efficacy of two point rigid internal fixation in the immobilization of zygomatic complex fractures. PATIENTS AND METHODS: 30 patients with zygomatic complex fractures were managed by open reduction and internal fixation using titanium mini bone plate screws at the frontozygomatic and zygomatic buttress region. This prospective study was carried out at the Department of Oral & Maxillofacial Surgery, Armed Forces Medical College (AFMC), Pune, India between 1st August 2005 to 1st August 2007. Isolated unilateral zygomatic complex fractures of less than six weeks duration were included in the study. RESULT: Clinically and radiologically satisfactory results were achieved in all 30 patients using two point rigid internal fixation at the frontozygomatic and zygomatic buttress region of zygomatic complex fracture. CONCLUSIONS: Stable fixation and immobilization of isolated zygomatic complex can be achieved with two point fixation using titanium mini bone plate and screws at the frontozygomatic and zygomatic buttress region of zygomatic complex fracture. Postoperative complications like scarring, ectropion and neurological deficit can be avoided by not using infraorbital rim as the third point of fixation.
PURPOSE: To evaluate the efficacy of two point rigid internal fixation in the immobilization of zygomatic complex fractures. PATIENTS AND METHODS: 30 patients with zygomatic complex fractures were managed by open reduction and internal fixation using titanium mini bone plate screws at the frontozygomatic and zygomatic buttress region. This prospective study was carried out at the Department of Oral & Maxillofacial Surgery, Armed Forces Medical College (AFMC), Pune, India between 1st August 2005 to 1st August 2007. Isolated unilateral zygomatic complex fractures of less than six weeks duration were included in the study. RESULT: Clinically and radiologically satisfactory results were achieved in all 30 patients using two point rigid internal fixation at the frontozygomatic and zygomatic buttress region of zygomatic complex fracture. CONCLUSIONS: Stable fixation and immobilization of isolated zygomatic complex can be achieved with two point fixation using titanium mini bone plate and screws at the frontozygomatic and zygomatic buttress region of zygomatic complex fracture. Postoperative complications like scarring, ectropion and neurological deficit can be avoided by not using infraorbital rim as the third point of fixation.
Entities:
Keywords:
Frontozygomatic suture; Two point fixation; Zygomatic buttress
Authors: Jun Hyeok Kim; Ye Sol Kim; Deuk Young Oh; Young Joon Jun; Jong Won Rhie; Suk-Ho Moon Journal: Biomed Res Int Date: 2020-03-18 Impact factor: 3.411