Treatment modalities in zygomatic complex fractures: A prospective short clinical study
Introduction: Zygomatic complex fractures or the tetrapod fractures are common to occur followed by the nasal bone fractures because of its prominent location. At the same time, it is difficult to obtain perfect reduction and contour postoperatively because of its complex involvement with four bones...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Dentistry and Medical Research |
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| Online Access: | http://www.dmrjournal.org/article.asp?issn=2348-1471;year=2013;volume=1;issue=1;spage=13;epage=22;aulast=Candamourty |
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| author | Ramesh Candamourty Vinod Narayanan M F Baig M R Muthusekar Manoj Kumar Jain Ramesh M. R. Babu |
| author_facet | Ramesh Candamourty Vinod Narayanan M F Baig M R Muthusekar Manoj Kumar Jain Ramesh M. R. Babu |
| author_sort | Ramesh Candamourty |
| collection | DOAJ |
| description | Introduction: Zygomatic complex fractures or the tetrapod fractures are common to occur followed by the nasal bone fractures because of its prominent location. At the same time, it is difficult to obtain perfect reduction and contour postoperatively because of its complex involvement with four bones namely maxillary, temporal, orbital and greater wing of sphenoid bone. Various classifications have been put forward for better understanding and planning of treatment protocol. Aim: This study aims at comparing the following variables after reduction and fixation of fracture zygomatic complex; 1. Esthetics 2. Restoration of anatomical form 3. Occlusion 4. Function 5. Neurological deficits. Materials and Methods: Twenty patients were selected following a clinical and radiographic examination of fracture of the zygomatic complex. Reduction techniques used were Gillie′s, Dingman′s lateral eyebrow, and upper buccal sulcus approaches. Fixation was done at single-point or two-point or three-point protocol by transosseous wiring or miniplate osteosynthesis. Results: Among the twenty cases treated, all were males. Age distribution of the patients was between 20-60 years with a mean age of 39.5 years. There was facial asymmetry in four cases postoperatively and two among them did not follow postoperative instructions. Conclusions: Closed reduction namely Gillie′s temporal approach was found to be the best reduction technique and the protocol of three point, miniplate fixation was effective in terms of stability and relapse. |
| first_indexed | 2024-12-14T00:29:56Z |
| format | Article |
| id | doaj.art-71ade4fc645746ca8690f32ea5f0f7c7 |
| institution | Directory Open Access Journal |
| issn | 2348-1471 |
| language | English |
| last_indexed | 2024-12-14T00:29:56Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Dentistry and Medical Research |
| spelling | doaj.art-71ade4fc645746ca8690f32ea5f0f7c72022-12-21T23:24:53ZengWolters Kluwer Medknow PublicationsDentistry and Medical Research2348-14712013-01-01111322Treatment modalities in zygomatic complex fractures: A prospective short clinical studyRamesh CandamourtyVinod NarayananM F BaigM R MuthusekarManoj Kumar JainRamesh M. R. BabuIntroduction: Zygomatic complex fractures or the tetrapod fractures are common to occur followed by the nasal bone fractures because of its prominent location. At the same time, it is difficult to obtain perfect reduction and contour postoperatively because of its complex involvement with four bones namely maxillary, temporal, orbital and greater wing of sphenoid bone. Various classifications have been put forward for better understanding and planning of treatment protocol. Aim: This study aims at comparing the following variables after reduction and fixation of fracture zygomatic complex; 1. Esthetics 2. Restoration of anatomical form 3. Occlusion 4. Function 5. Neurological deficits. Materials and Methods: Twenty patients were selected following a clinical and radiographic examination of fracture of the zygomatic complex. Reduction techniques used were Gillie′s, Dingman′s lateral eyebrow, and upper buccal sulcus approaches. Fixation was done at single-point or two-point or three-point protocol by transosseous wiring or miniplate osteosynthesis. Results: Among the twenty cases treated, all were males. Age distribution of the patients was between 20-60 years with a mean age of 39.5 years. There was facial asymmetry in four cases postoperatively and two among them did not follow postoperative instructions. Conclusions: Closed reduction namely Gillie′s temporal approach was found to be the best reduction technique and the protocol of three point, miniplate fixation was effective in terms of stability and relapse.http://www.dmrjournal.org/article.asp?issn=2348-1471;year=2013;volume=1;issue=1;spage=13;epage=22;aulast=CandamourtyClosed or open reductionminiplate or wire osteosynthesisone-point or two-point or three-point fixationzygomatic complex fractureszygomaticomaxillary fractures |
| spellingShingle | Ramesh Candamourty Vinod Narayanan M F Baig M R Muthusekar Manoj Kumar Jain Ramesh M. R. Babu Treatment modalities in zygomatic complex fractures: A prospective short clinical study Dentistry and Medical Research Closed or open reduction miniplate or wire osteosynthesis one-point or two-point or three-point fixation zygomatic complex fractures zygomaticomaxillary fractures |
| title | Treatment modalities in zygomatic complex fractures: A prospective short clinical study |
| title_full | Treatment modalities in zygomatic complex fractures: A prospective short clinical study |
| title_fullStr | Treatment modalities in zygomatic complex fractures: A prospective short clinical study |
| title_full_unstemmed | Treatment modalities in zygomatic complex fractures: A prospective short clinical study |
| title_short | Treatment modalities in zygomatic complex fractures: A prospective short clinical study |
| title_sort | treatment modalities in zygomatic complex fractures a prospective short clinical study |
| topic | Closed or open reduction miniplate or wire osteosynthesis one-point or two-point or three-point fixation zygomatic complex fractures zygomaticomaxillary fractures |
| url | http://www.dmrjournal.org/article.asp?issn=2348-1471;year=2013;volume=1;issue=1;spage=13;epage=22;aulast=Candamourty |
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