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Surgical Methods of Zygomaticomaxillary Complex Fracture
So Young Ji1, Seung Soo Kim1, Moo Hyun Kim1
1Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital, Ulsan, Korea.
Archives of Craniofacial Surgery
|September 16, 2017
Summary
This study reviewed 502 zygomaticomaxillary complex (ZMC) fractures, finding Group IV most common. Two-point fixation was most frequent, with minimal incision and surgeon-familiar approaches recommended for ZMC fracture treatment.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Trauma Surgery
Background:
- Zygoma fractures are common midfacial injuries due to the zygoma's prominent location.
- Zygomaticomaxillary complex (ZMC) fractures require careful surgical planning.
- Various surgical incisions and fixation techniques exist for ZMC fracture repair.
Purpose of the Study:
- To review treatment approaches for ZMC fractures.
- To analyze fracture types and fixation methods used.
- To provide recommendations for ZMC fracture management.
Main Methods:
- Retrospective review of 502 ZMC fractures from January 2005 to December 2014.
- Exclusion of simple zygomatic arch fractures.
- Analysis of fracture classification (Knight and North) and fixation techniques.
Main Results:
- Orbital fractures were the most common associated injury.
- Knight and North Group IV fractures were most frequent.
- Two-point fixation was utilized in 73% of cases.
Conclusions:
- Minimal incision approaches are often preferred.
- Surgeon familiarity with specific techniques is important.
- Tailoring fixation methods to fracture type is recommended.
