Matteo Brucoli1, Paolo Boffano2, Emanuele Broccardo2, Arnaldo Benech2, Pierre Corre3, Helios Bertin3, Petia Pechalova4, Nikolai Pavlov5, Petko Petrov6, Tiia Tamme7, Andrey Kopchak8, Andrii Hresko8, Eugen Shuminsky8, Emil Dediol9, Marko Tarle9, Vitomir S Konstantinovic10, Milan Petrovic10, Simon Holmes11, K Hakki Karagozoglu12, Tymour Forouzanfar12. 1. Division of Maxillofacial Surgery at the University of Eastern Piedmont, Novara, Italy. Electronic address: mattbrucoli@gmail.com. 2. Division of Maxillofacial Surgery at the University of Eastern Piedmont, Novara, Italy. 3. Service de Stomatologie et Chirurgie Maxillo-faciale at the Chu de Nantes, Nantes, France. 4. Department of Oral Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria. 5. Private Practice of Oral Surgery, Plovdiv, Bulgaria. 6. Department of Maxillofacial Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria. 7. Department of Maxillofacial Surgery, Stomatology Clinic, Tartu University, Tartu, Estonia. 8. Department for Oral and Maxillofacial Surgery at the Bogomolets National Medical University, Kiev, Ukraine. 9. Department of Maxillofacial Surgery at the University Hospital Dubrava, Zagreb, Croatia. 10. The Clinic of Maxillofacial Surgery of the School of Dentistry at the University of Belgrade, Belgrade, Serbia. 11. Department of Oral and Maxillofacial Surgery, Royal London Hospital, Barts Health NHS, London, UK. 12. Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Center and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, the Netherlands.
Abstract
PURPOSE: Fractures of the zygomaticomaxillary complex (ZMC) are common injuries that may lead to loss of an aesthetically pleasing appearance and functional impairment. The aim of this study was to analyze the demographics, causes, characteristics, and outcomes of zygomatic fractures managed at several European departments of oral and maxillofacial surgery. MATERIALS AND METHODS: This study is based on a multicenter systematic database that allowed the recording of all patients with ZMC fractures between 1 January 2013 and 31 December 2017. The following data were recorded: gender, age, personal medical history, etiology, side of zygomatic fracture, classification of ZMC fracture, associated maxillofacial fractures, symptoms at diagnosis, type of performed treatment, and sequelae/complications. RESULTS: A total of 1406 patients (1172 males, 234 females) were included in the study. Statistically significant correlations were found between assault-related ZMC fractures and the A3 class (p < .0000005) and between Infraorbital Nerve (ION) anesthesia and B class (p < .00000005). CONCLUSION: The most frequent cause of ZMC fractures was assault, followed by falls. The most frequently involved decade of age was between 20 and 29 years. The decision and type of surgical treatment of ZMC fractures depends on several issues that need to be considered on a case by case basis.
PURPOSE:Fractures of the zygomaticomaxillary complex (ZMC) are common injuries that may lead to loss of an aesthetically pleasing appearance and functional impairment. The aim of this study was to analyze the demographics, causes, characteristics, and outcomes of zygomatic fractures managed at several European departments of oral and maxillofacial surgery. MATERIALS AND METHODS: This study is based on a multicenter systematic database that allowed the recording of all patients with ZMCfractures between 1 January 2013 and 31 December 2017. The following data were recorded: gender, age, personal medical history, etiology, side of zygomatic fracture, classification of ZMCfracture, associated maxillofacial fractures, symptoms at diagnosis, type of performed treatment, and sequelae/complications. RESULTS: A total of 1406 patients (1172 males, 234 females) were included in the study. Statistically significant correlations were found between assault-related ZMCfractures and the A3 class (p < .0000005) and between Infraorbital Nerve (ION) anesthesia and B class (p < .00000005). CONCLUSION: The most frequent cause of ZMCfractures was assault, followed by falls. The most frequently involved decade of age was between 20 and 29 years. The decision and type of surgical treatment of ZMCfractures depends on several issues that need to be considered on a case by case basis.
Authors: Mihai Juncar; Paul Andrei Tent; Raluca Iulia Juncar; Antonia Harangus; Rivis Mircea Journal: BMC Oral Health Date: 2021-03-17 Impact factor: 2.757