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[Treatment of zygomaxillary complex multiple fractures: an analysis of 25 consecutive cases]
1Stomatological Department of Jining First People's Hospital, Jining 272100, Shangdong Province, China.
Purpose:
This retrospective study was performed to analyze the causes, 3D spiral CT examination and the treatment of ZMC fractures.
Methods:
Rigid internal fixation was used in 25 patients with ZMC fractures after 3D spiral CT examination and anatomical reduction. The patients were followed up for 3 to 12 months.
Results:
In the 25 cases, 13 cases had traffic accident injury, 5 had industrial accident injury. Local collapsed teratism were found in 21 cases,malocclusion was noted in 19 cases, limitation of mouth opening was found in 15 cases, diplopia was in 17 cases, infraorbital numbness in 11 cases, 5 cases had sagittal maxillary fracture. Spiral 3D CT images showed the steric anatomical images and relationship to the adjacent structures clearly in 25 patients. All patients were treated via rigid internal fixation with titanium plates and pins. 22 patients had satisfied maxillofacial appearance.
Conclusion:
Using topical, coronal and vestibular incisions accordingly, and rigid internal fixation with titanium plates, satisfied outcomes can be achieved in patients with ZMC fractures.
