The effectiveness of one point fixation (miniplate 2.0) for the treatment of zygomaticomaxillary complex fracture
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Abstract
This was a retrospective study. The objective of the study was to determine the effectiveness of 1 point fixation for treatment zygomaticomaxillary complex fracture in Chonburi Hospital during June 2015 to June 2020. Position of zygoma in Waters’ view and submentovertex of 99 patients who met inclusion criteria were studied. Supero-inferior position of both zygoma was compared in Waters’ view radiograph and antero-posterior position was compared in submentovertex radiograph.The positions were measured in pre- and postoperative radiographs. Angle of both zygomatic arch was measured in postoperative submentovertex radiograph. For the results, in Waters’ view superoinferior position of zygoma at postoperative site was not different from non-fracture site. In submentovertex, anteroposterior position of zygoma and angle of zygomatic arch of postoperative site were not different from non-fracture site. In conclusion, this study showed that treatment of simple fracture of zygomaticomaxillary complex with one point fixation was effective to restore position of zygoma to pre-traumatic site in superoinferior and anteroposterior aspects.
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References
Manson PN, Crawley WA, Yaremchuk MJ, Rochman GM, Hoopes JE, French JH Jr.Midface fractures: advantages of immediate extended open reduction and bone grafting.Plast Reconstr Surg. 1985;76:1-12.
Marinho RO, Freire-Maia B. Management of fractures of the zygomaticomaxillary complex.Oral Maxillofac Surg Clin North Am. 2013;25:617-36.
Ochsmark W, Tucker Myron R. Management of facial fractures. In: Hupp JR, Falk K, editors.Contemporary oral and maxillofacial surgery. 6th ed. St. Louis, Missouri: Elsevier Mosby; 2014.
Zingg M, Laedrach K, Chen J, Chowdhury K, Vuillemin T, Sutter F, et al. Classification and treatment of zygomatic fractures: a review of 1,025 cases. J Oral Maxillofac Surg.1992;50:778-90.
Salentijn EG, Boverhoff J, Heymans MW, van den Bergh B, Forouzanfar T. The clinical and radiographical characteristics of zygomatic complex fractures: a comparison between the surgically and non-surgically treated patients. J Craniomaxillofac Surg. 2014;42:492-7.
Wu CM, Chen YA, Liao HT, Chen CH, Pan CH, Chen CT. Surgical treatment of isolated zygomatic fracture: outcome comparison between titanium plate and bioabsorbable plate. Asian J Surg. 2018;41:370-6.
Kovacs AF, Ghahremani M. Minimization of zygomatic complex fracture treatment.Int J Oral Maxillofac Surg. 2001;30:380-3.
van Hout WM, Van Cann EM, Koole R, Rosenberg AJ. Surgical treatment of unilateral zygomaticomaxillary complex fractures: a 7-year observational study assessing treatment outcome in 153 cases. J Craniomaxillofac Surg. 2016;44:1859-65.
Farber SJ, Nguyen DC, Skolnick GB, Woo AS, Patel KB. Current management of zygomaticomaxillary complex fractures: a multidisciplinary survey and literature review.Craniomaxillofac Trauma Reconstr. 2016;9:313-22.
Starch-Jensen T, Linnebjerg LB, Jensen JD. Treatment of zygomatic complex fractures with surgical or nonsurgical intervention: a retrospective study. Open Dent J. 2018;12: 377.
Ellis E 3rd, Kittidumkerng W. Analysis of treatment for isolated zygomaticomaxillary complex fractures. J Oral Maxillofac Surg. 1996;54:386-400.
Buller J, Zirk E, Kreppel M, Grandoch A, Maus V, Zirk M, et al. Radiomorphometric analysis of isolated zygomatic arch fractures: a comparison of classifications and reduction outcomes. J Cranio Maxillofac Surg. 2018;46:1252-7.
Toriumi M, Nagasao T, Itamiya T, Shimizu Y, Yasudo H, Sakamoto Y, et al. 3-D analysis of dislocation in zygoma fractures. J Cranio Maxillofac Surg. 2014;42:397-402.
van Hout WM, Van Cann EM, Muradin MS, Frank MH, Koole R. Intraoperative imaging for the repair of zygomaticomaxillary complex fractures: a comprehensive review of the literature. J Cranio Maxillofac Surg. 2014;42:1918-23.
Kelley P, Hopper R, Gruss J. Evaluation and treatment of zygomatic fractures. Plast Reconstr Surg. 2007;120(7 Suppl 2):5S-15S.
Rana M, Warraich R, Tahir S, Iqbal A, von See C, Eckardt AM, et al. Surgical treatment of zygomatic bone fracture using two points fixation versus three point fixation--a randomised prospective clinical trial. Trials. 2012;13:36.
Nasr WF, ElSheikh E, El-Anwar MW, Sweed AH, Bessar A, Ezzeldin N. Two-versus three-point internal fixation of displaced zygomaticomaxillary complex fractures. Craniomaxillofac Trauma Reconstr. 2018;11:256-64
Soejima K, Skurai H, Nozaki M, Kitazawa Y, Takeuchi M, Yamaki T, et al. Semi-closed reduction of tripod fractures of zygoma under intraoperative assessment using ultrasonography. J Plast Reconstr Aesth Surg. 2009;62:499-505.
Hwang K. One-point fixation of tripod fractures of zygoma through a lateral brow incision.J Craniofac Surg. 2010;21:1042-4.
Zou C, Niu F, Yu B, Liu JF, Gui L. Zygomatic complex change after reduction malarplasty and its geometric model: a retrospective clinical study. J Oral Maxillofac Surg. 2015; 73:2196-206.