Garg Ramneesh1, Gupta Gulzar2, Uppal Sanjeev3, Mittal Rajinder3, Pal Ranabir4, Garg Nikhil5. 1. Assistant Professor, Department of Plastic Surgery, Dayanand Medical College & Hospital , Ludhiana, Punjab, India . 2. Assistant Professor, Department of Neuro Surgery, Dayanand Medical College & Hospital , Ludhiana, Punjab, India . 3. Professor, Department of Plastic Surgery, Dayanand Medical College & Hospital , Ludhiana, Punjab, India . 4. Additional Professor, Department of Community Medicine & Family Medicine, All India Institute of Medical Sciences , Jodhpur, Rajasthan, India . 5. Resident, Department of General Surgery, Dayanand Medical College & Hospital , Ludhiana, Punjab, India .
Abstract
BACKGROUND: Orbitozygomatic fracture that most commonly accompanies craniofacial injury is a challenge for medical science to reduce complications and to attain aesthetically satisfying results. OBJECTIVE: To summarize our experiences with the optimum management of orbito-zygomatic fractures. MATERIALS AND METHODS: This retrospective study was aimed at investigating indications and surgical approaches for orbitozygomatic fractures with clinical follow-up, particularly with regard to postoperative complications. Since 2010, 100 cases with faciomaxillary injury were assessed for Orbitozygomatic fractures with the help of physical examination, non-invasive investigations including computed tomography of the orbit. Patients were retrospectively analysed for data, such as mechanism of injury, classification of fracture, and complications. RESULTS: Amongst 100 consecutive patients with orbito-zygomatic fractures an overwhelming majority were males (n=83). In the age distribution a great majority (45%) were in 30-45 years age group, followed by 15-30 years (22%) and 45-60 years (18%). So in the productive age group i.e. 15-60 years age group were affected mostly (85%) in our series. Among different injury mechanism, Road traffic accident affected most (69%) that landed up in orbito-zygomatic fractures followed by altercations (22%). We preferred Open reduction and internal fixation (ORIF) for 68% of the patients with orbito- zygomatic fractures, followed by closed reduction (12%). CONCLUSION: Ophthalmology consultation is recommended for all patients presenting with orbitozygomatic fractures, and is essential for patients with orbital blowout fractures, based on the high incidence of clinical ocular findings and injuries in this subgroup of patients.
BACKGROUND: Orbitozygomatic fracture that most commonly accompanies craniofacial injury is a challenge for medical science to reduce complications and to attain aesthetically satisfying results. OBJECTIVE: To summarize our experiences with the optimum management of orbito-zygomatic fractures. MATERIALS AND METHODS: This retrospective study was aimed at investigating indications and surgical approaches for orbitozygomatic fractures with clinical follow-up, particularly with regard to postoperative complications. Since 2010, 100 cases with faciomaxillary injury were assessed for Orbitozygomatic fractures with the help of physical examination, non-invasive investigations including computed tomography of the orbit. Patients were retrospectively analysed for data, such as mechanism of injury, classification of fracture, and complications. RESULTS: Amongst 100 consecutive patients with orbito-zygomatic fractures an overwhelming majority were males (n=83). In the age distribution a great majority (45%) were in 30-45 years age group, followed by 15-30 years (22%) and 45-60 years (18%). So in the productive age group i.e. 15-60 years age group were affected mostly (85%) in our series. Among different injury mechanism, Road traffic accident affected most (69%) that landed up in orbito-zygomatic fractures followed by altercations (22%). We preferred Open reduction and internal fixation (ORIF) for 68% of the patients with orbito- zygomatic fractures, followed by closed reduction (12%). CONCLUSION: Ophthalmology consultation is recommended for all patients presenting with orbitozygomatic fractures, and is essential for patients with orbital blowout fractures, based on the high incidence of clinical ocular findings and injuries in this subgroup of patients.