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Zygomatic fractures: classification and complications.

S Kristensen, K Tveterås

    Clinical Otolaryngology and Allied Sciences
    |June 1, 1986
    PubMed
    Summary
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    This study on zygomatic fractures found malar flattening in 16% of operated patients and sensory disturbances in 34%. Radiographic classifications were not useful for preoperative evaluation of fracture stability.

    Area of Science:

    • Oral and Maxillofacial Surgery
    • Trauma Surgery
    • Radiology

    Background:

    • Zygomatic fractures are common facial injuries.
    • Late complications and classification systems require further analysis.

    Purpose of the Study:

    • To analyze late complications of zygomatic fractures.
    • To evaluate the utility of radiographic classifications in predicting fracture stability.

    Main Methods:

    • Retrospective study of 109 patients with 111 zygomatic fractures.
    • Follow-up evaluation of 72 patients.
    • Fracture classification using Knight & North and Larsen & Thomsen systems.

    Main Results:

    • Etiology: violence (39%), traffic accidents (28%).

    Related Experiment Videos

  • Associated craniofacial fractures in 42%.
  • Late complications: malar flattening (16%), sensory disturbances (34%), enophthalmos (6%), diplopia (1%).

    • Conclusions:

    • Current radiographic classifications are not useful for preoperative evaluation of zygomatic fracture stability.
    • Clinical assessment remains the most reliable method for evaluating stability.
    • CT classification systems may offer future value.