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Analysis of zygomatic fractures
1Department of Plastic Surgery, and Center for Advanced Medical Education by BK21 Project, Inha University College of Medicine, Incheon, Korea.
The Journal of Craniofacial Surgery
|July 21, 2011
Summary
This study analyzed 469 zygomatic fractures, finding tripod fractures most common. Treatment varied by fracture type, with open reduction and internal fixation prevalent for complex cases, while simpler zygomatic arch fractures often received closed reduction.
Area of Science:
- Orthopedics
- Traumatology
- Maxillofacial Surgery
Background:
- Zygomatic fractures are common facial injuries.
- Understanding their natural history and treatment patterns is crucial for optimal patient outcomes.
Purpose of the Study:
- To evaluate the natural history and treatment outcomes of zygomatic fractures.
- To classify fracture types and analyze treatment modalities based on fracture patterns.
Main Methods:
- Retrospective review of 469 patient records with zygomatic fractures over 14 years.
- Classification of fractures into monopod, dipod, and tripod types.
- Analysis of treatment methods including open reduction, closed reduction, and conservative management.
Main Results:
- Tripod fractures (50.7%) and zygomaticomaxillary fractures (25.8%) were most frequent.
- Open reduction with internal fixation was common for tripod and zygomaticomaxillary fractures.
- Closed reduction was preferred for isolated zygomatic arch fractures.
- Postoperative complications occurred in 19.1% of cases, with hypesthesia and diplopia being most common.
Conclusions:
- Fracture classification aids in predicting injury patterns and guiding treatment.
- Treatment strategies vary significantly based on zygomatic fracture type.
- Most complications like hypesthesia and diplopia show good recovery within two months.
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