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Optimal treatment of zygomatic fractures: a single-center study results
Karaca Başaran1, Funda Aköz Saydam, Özgür Pilancı
1Department of Plastic Reconstructive and Aesthetic Surgery, Bağcılar Training and Research Hospital, 34200 Bağcılar, İstanbul, Turkey.
Objectives:
This study aims to investigate the epidemiological and operative characteristics of patients undergoing surgery for zygomatic fractures.
Patients And Methods:
Between May 2008 and October 2013, a total of 121 patients (98 males, 23 females; mean age 27 years; range, 9 to 63 years) who were operated for zygomatic fractures in our clinic were retrospectively analyzed. Age and sex of the patients, symptoms, fracture and incision sites, length of hospital stay, plate type, treatment options, and complications were recorded.
Results:
Assault was the leading cause of trauma (39%), followed by traffic accidents (24%). The most common symptom or clinical sign was the periorbital ecchymosis/hematoma. Conservative treatment was applied in 14 patients (12%). Surgery was performed with a closed reduction in 17 patients (14%) and open reduction in 90 patients (74%). The most common fracture site was the infraorbital rim in 76 patients (62.8%). A total of 48% patients had three-site, 35% had two-site and 12% had one-site of fixations. The major material used for the orbital floor reconstruction was porous polyethylene in 43.7% patients.
Conclusion:
Our study results show that surgery is required in the majority of the patients with zygomatic fractures. However, further large studies are required to determine many parameters such as incision sites, plate locations, and the material to be used in orbital floor reconstruction.
