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357947

Facial Asymmetry After Management of Unilateral Zygomaticomaxillary Complex Fractures Using Two-Point Fixation Technique

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Last updated: 24 Dec 2024

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Abstract

Background: It is crucial to correctly identify and treat zygomatic bone injuries because of the zygoma's functional and aesthetic importance in the face contour. Zygomatic fractures can cause disfigurement, which necessitates operation to restore face symmetry. Objective: To evaluate the facial asymmetry after management of unilateral zygomaticomaxillary complex fracture using a two-point fixation technique. Patients and Methods: This study was conducted on 20 patients with unilateral zygomaticomaxillary complex (ZMC) fractures managed by a two-point fixation technique. The zygomaticomaxillary (ZM) buttress was used as a key point of fixation through an intra-oral approach for all patients and either the infraorbital rim (IOR) or the frontozygomatic (FZ) suture area was used as a second point of fixation. Radiographic assessment of the computed tomography (CT) scans was done by measuring the malar width, malar projection, and malar height on the fracture side and the normal side both preoperatively and postoperatively after 1 week and after 1 month. The asymmetry index comparing the normal side with the fracture side was measured both preoperatively and postoperatively. Results: The difference between preoperative and 1-week, 1-month postoperative malar width and malar projectionwas highly significant, while the malar height difference wasn't significant. The asymmetry index decreasedsignificantly postoperatively by 1 week and 1 month by using the 2-point fixation technique. Conclusions: Stable fixation results and adequate aesthetic outcomes can be obtained by using the 2-point fixationtechnique in the management of ZMC fractures.  

DOI

10.21608/ejhm.2024.357947

Keywords

Zygomaticomaxillary complex fracture, Zygomatic buttress, two-point fixation, maxillofacial trauma, Facial asymmetry, malar projection

Volume

95

Article Issue

1

Related Issue

46984

Issue Date

2024-04-01

Receive Date

2024-06-02

Publish Date

2024-04-01

Page Start

2,071

Page End

2,077

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_357947.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=357947

Order

118

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Facial Asymmetry After Management of Unilateral Zygomaticomaxillary Complex Fractures Using Two-Point Fixation Technique

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Article

Created At

24 Dec 2024