The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures
Statement of the Problem: Treating zygomaticomaxillary complex fractures (ZMC Fx) can result in postoperative complications that should be minimized by choosing the best surgical approach. Purpose: This study compared incidence rates of some common postoperative complications with emphasis on ectro...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2021-07-01
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| Series: | Journal of Dentistry |
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| Online Access: | https://dentjods.sums.ac.ir/article_47010_dcf99c594340f67ef5ef2c4edda4e195.pdf |
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| author | Mehrnoush Momeni Roochi Amir Jalal Abbasi Hamed Zahedipour Narges Hajiani |
| author_facet | Mehrnoush Momeni Roochi Amir Jalal Abbasi Hamed Zahedipour Narges Hajiani |
| author_sort | Mehrnoush Momeni Roochi |
| collection | DOAJ |
| description | Statement of the Problem: Treating zygomaticomaxillary complex fractures (ZMC Fx) can result in postoperative complications that should be minimized by choosing the best surgical approach.
Purpose: This study compared incidence rates of some common postoperative complications with emphasis on ectropion (an outward curling of the lower eyelid) and entropion (an inward curling of the lower eyelid) occurring with transconjunctival or subciliary approaches for the treatment of ZMC fractures.
Materials and Method: This prospective study enrolled 80 patients with ZMC Fx who had been surgically treated. Patients were visited within one month and five months postoperatively by the same surgeon. An information checklist was completed for each patient for clinical assessment of postoperative complications.
Results: There was no significant difference between the two groups in the type of trauma (simple or comminuted) (p= 0.1) or the frequency of ectropion and entropion one month and five months postoperatively (p> 0.05). The same results were observed for history of massage under the eye or around the field of surgery (p= 0.151), scleral show (p= 0.414), history of post-surgical epiphora (overflow of tears and accumulation of tear) (p= 0.059), duration of the use of suspension/frost sutures (used to prevent eyelid distortion secondary to wound injury applied at the skin inferior to the incision to help elevate the lid) (p= 0.057), and the use of porex (an alloplastic material over the defect in the orbital floor) (p= 0.91).
Conclusion: There was no significant difference between the transconjunctival approach and the subciliary approach in terms of common postoperative complications such as ectropion and entropion. |
| first_indexed | 2024-12-14T04:18:11Z |
| format | Article |
| id | doaj.art-a8ad5cbec4fa4b9dbee26f091a3614eb |
| institution | Directory Open Access Journal |
| issn | 2345-6485 2345-6418 |
| language | English |
| last_indexed | 2024-12-14T04:18:11Z |
| publishDate | 2021-07-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Journal of Dentistry |
| spelling | doaj.art-a8ad5cbec4fa4b9dbee26f091a3614eb2022-12-21T23:17:27ZengShiraz University of Medical SciencesJournal of Dentistry2345-64852345-64182021-07-01222768110.30476/DENTJODS.2020.84853.1101The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC FracturesMehrnoush Momeni Roochi 0Amir Jalal Abbasi 1Hamed Zahedipour 2Narges Hajiani 3Fellowship of Maxillofacial Trauma, Dept. of Oral and Maxillofacial Surgery, Sina Hospital, Craniomaxillofacial Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Fellowship of Facial Cosmetic and Reconstructive Surgery, Dept. of Oral and Maxillofacial Surgery, Sina hospital, Craniomaxillofacial Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.Dept. of Oral and Maxillofacial Surgery, Zahedan University of Medical Sciences, Zahedan, Craniomaxillofacial Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.Resident Dept. of Oral and Maxillofacial Surgery, Sina hospital, Craniomaxillofacial Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.Statement of the Problem: Treating zygomaticomaxillary complex fractures (ZMC Fx) can result in postoperative complications that should be minimized by choosing the best surgical approach. Purpose: This study compared incidence rates of some common postoperative complications with emphasis on ectropion (an outward curling of the lower eyelid) and entropion (an inward curling of the lower eyelid) occurring with transconjunctival or subciliary approaches for the treatment of ZMC fractures. Materials and Method: This prospective study enrolled 80 patients with ZMC Fx who had been surgically treated. Patients were visited within one month and five months postoperatively by the same surgeon. An information checklist was completed for each patient for clinical assessment of postoperative complications. Results: There was no significant difference between the two groups in the type of trauma (simple or comminuted) (p= 0.1) or the frequency of ectropion and entropion one month and five months postoperatively (p> 0.05). The same results were observed for history of massage under the eye or around the field of surgery (p= 0.151), scleral show (p= 0.414), history of post-surgical epiphora (overflow of tears and accumulation of tear) (p= 0.059), duration of the use of suspension/frost sutures (used to prevent eyelid distortion secondary to wound injury applied at the skin inferior to the incision to help elevate the lid) (p= 0.057), and the use of porex (an alloplastic material over the defect in the orbital floor) (p= 0.91). Conclusion: There was no significant difference between the transconjunctival approach and the subciliary approach in terms of common postoperative complications such as ectropion and entropion.https://dentjods.sums.ac.ir/article_47010_dcf99c594340f67ef5ef2c4edda4e195.pdfzygomaticomaxillary complex fractures; transconjunctival; subciliary; entropion; ectropion |
| spellingShingle | Mehrnoush Momeni Roochi Amir Jalal Abbasi Hamed Zahedipour Narges Hajiani The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures Journal of Dentistry zygomaticomaxillary complex fractures; transconjunctival; subciliary; entropion; ectropion |
| title | The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures |
| title_full | The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures |
| title_fullStr | The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures |
| title_full_unstemmed | The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures |
| title_short | The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures |
| title_sort | incidence of common complications including ectropion and entropion in transconjunctival and subciliary approaches for treatment of zmc fractures |
| topic | zygomaticomaxillary complex fractures; transconjunctival; subciliary; entropion; ectropion |
| url | https://dentjods.sums.ac.ir/article_47010_dcf99c594340f67ef5ef2c4edda4e195.pdf |
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