A simple zygomatic fracture is a hairline break in the zygoma, or cheekbone. There were 552 86% zygoma frac tures and 90 14% zygomatic arch fractures. The zygoma forms part of the floor and lateral wall of the orbit and the zygomatic arch is an important feature in the structure and appearance of the face. Symptoms of zygomatic fractures include those produced by hemorrhage and edema. Surgical methods of zygomaticomaxillary complex fracture. Evaluation of treatment of zygomatic bone and zygomatic.
Zygomatic complex fracture is the second most common fracture of facial region just. Pdf zygomaticomaxillary complex fracture researchgate. The physician reduces a fracture of the malar complex. The fracture will be realigned and then fixed together using titanium plate and screws.
The zygomaticomaxillary complex fracture, also known as a quadripod fracture, quadramalar fracture, and formerly referred to as a tripod fracture or trimalar fracture, has four. A total of 67 conjunctival and secondary incisions were made on 46 patients for repair of zygomatic fractures. In one case of occupational injury, a jockey was kicked by a horse resulting in. Therefore for cosmetic and functional reasons it is imperative to diagnoseand treat zygomatic fractures adequately. Evaluation of zygomatic complex fractures based on three. These will stay in place unless they cause problems, in which case a second operation will be required to remove them. The researchers consider the previous classification system should be improved. Avoid and manage common complications associated with zygomatic fracture repair.
The malar complex refers to the zygoma and maxillary bones and therefore forms part of the orbital floor and lateral orbital wall. A cut is made around the eyes and inside the mouth to access the fracture. Zygomaticomaxillary complex fracture wikimili, the free. The fracture will be realigned and then fixed together. Complex fractures may include the cheekbone and part of the orbit of the eye. Zygomatic fracture zygomatic zygomatic arch fracture type 4 dislocated fracture of zygomatic bone with diastase is available on the lateral orbital rim with dorsokaudaler shear.
Zygomaticomaxillary complex fracture linkedin slideshare. Comminuted fracture zygoma open reduction and fixation. Moreover the importance of zygomatic complex in facial skeleton lies inprotecting globe of eye and absorbing and redistributing masticatory andexternal load. Fracture zygoma and its management our experience core. Zygoma fractures are classified according to knight and north based on the direction of anatomic displacement and the pattern created by the fracture.
Complex fractures with comminution of the zygomatic bone indicates zingg fracture types in which the orbital contents are at risk. This plays a key role in the structure and function of. Treatment of zygomatic complex fractures using two point. Methods for the evaluation and management of patients with zygomatic fractures continue to evolve. Zygoma arch fracture an overview sciencedirect topics. Displaced fractures of the zygomatic bone can result in significant functional and aesthetic sequelae. The orbital rim and zygomatic arch are outlined with a marking pen. Zygoma fractures are easy to miss and displaced fractures require treatment within 10 days. I have a zygomatic arch fracture with no deformities. The zygoma also known as zygomatic bone or malar bone is an important facial bone which forms the prominence of the cheek.
Reduction of zygomatic fractures using the carrollgirard tbar screw article pdf available in archives of plastic surgery 395. The maxillary bone was the most common to have an associated fracture figure 6. Fractures can involve any of the four articulations of zygoma which include zygomaticomaxillary complex, zygomatic complex proper, orbitozygomatic complex. Repair of a displaced zygomatic arch fracture is unlike just about every other facial fracture other than that of the nasal bones. Understanding the classification scheme described by. It is located in an area where direct surgical access is impossible. Zygomatic fractures are common facial injuries, representing the most common facial fracture 214 or the second in frequency after nasal fractures. Fracture lines usually run through the infraorbital rim, involve the posterolateral orbit, and extend to the inferior orbital fissure. What is an orbito zygomatic maxillary fracture repair. Note the bone graft arrow this was to make good a continuity defect. For complex zygomatic fractures, the coronal approach allows for extensive degloving of the facial bones. This is most commonly seen after assault, but any blow to the cheek may give rise to a fracture. This is a tshaped device that has a handle at one end with a sharp screw portion perpendicular to. They are the second most common facial bone fracture after nasal bone fractures pathology.
A, attempted waters projection showing a vertical radiopaque density in the area of the left zygomatic arch. Zygoma or cheek bone fracture of zygoma is not usually present alone. Management of zygomatic fractures pocket dentistry. In the roentgenographic analysis of 72 cases of zygomatic fractures encountered in the gracenew haven community hospital during the past 7 years we found that in a high percentage of cases, there was a definite or suggestive sign of fracture of the zygomatic arch, namely, an oval or rec tangular, vertical. Pdf reduction of zygomatic fractures using the carroll. The incidence of isolated bilateral zygomatic fractures has not been reported secondary to. A new classification of zygomatic fracture featuring.
The zygoma forms a significant portion of the floor and lateral wall of the orbit and. The most direct approach in reducing a zygomatic fracture is to insert a carrollgirard screw. The vast majority of zygomatic fractures occur in men in their third decade of life. Zygomaticomaxillary complex fracture deepak k gupta 2. Treatment and complications of orbitozygomatic fractures scielo. Zygomatic complex fractures are one of the frequently occurring maxillofacial injuries owing to. The zygomatic complex also helps in transmitting the occlusal forces to the skull base. Image profiled with cmyk may print differently than expected. Definitions zygoma is a very crucial component which maintains facial contour. Fractures of the zygomatic complex and arch pocket. Zygomaticomaxillary complex fracture radiology reference.
According to the site of fracture, the patients were divided into three groups. These fractures occur most commonly as the result of assaults or motor vehicle collisions. Zygomatic fracture zygomatic zygomatic arch fracture type. Postoperative radiographs of a complex zygomatic fracture. Open treatment of depressed malar fracture, including zygomatic arch and malar tripod lay description code. The zygomatic bone occupies a prominent and important position in the facial skeleton. Please use one of the following formats to cite this article in your essay, paper or report. This is zygomatic arch fracture reduction using a temporal approach. Surgical management of zygomatic complex fractures in a major.
Principles of internal fixation of the craniomaxillofacial skeletontrauma and. What is an orbitozygomatic maxillary fracture repair. The diagnosis of such fractures can be made by one or more of the following clinical signs. Other fracture patterns, include isolated zygomatic arch fractures, or zmc fractures with associated panfacial fractures, such as le fort ii and iii. In these situations, the bone will heal completely and will. The zygomatic arch, or cheek bone, is formed by the zygomatic process of the temporal bone and the temporal process of the zygomatic bone, the two being united by an.
A zygoma fracture zygomatic fracture is a form of facial fracture caused by a fracture of the zygomatic bone. Orbitozygomatic fractures represent a type of maxillofacial injury that happens very often due to the. Zygomatic complex fractures and its management acta scientific. Reduction of zygomatic arch fracture using a towel clip. Md, who was the first in their group to suggest and routinely use the upper eyelid incision for zygomatic complex fracture reduction. The zygomaticomaxillary complex fracture, also known as a quadripod fracture, quadramalar fracture, and formerly referred to as a tripod fracture or trimalar fracture, has four components. Management of zygomaticomaxillary complex zmc fractures should be based on injury patterns and not on training background. Through the incision just below the lower eyelid skin, the subciliary. Zmc complex fracture right zygomaticomaxillary complex fracture with disruption. Discussion the zygomaticomaxillary complex fracture, also known as a quadripod fracture, quadramalar fracture, and formerly referred to as a tripod fracture or trimalar fracture. This is a case of a road traffic accident just 24 hours back.
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