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Changing Patterns of Zygomaticomaxillary Complex Fractures: A Retrospective Study
Neha Umakant Chodankar1, Vikas Dhupar2, Francis Akkara3
1Senior Resident, Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim, Goa, India.
Summary
Zygomaticomaxillary complex (ZMC) fractures often vary from classical patterns, with road traffic accidents being the most common cause. These variations correlate significantly with injury mechanisms, potentially requiring modified treatment approaches.
Area of Science:
- Maxillofacial surgery
- Trauma surgery
- Radiology
Background:
- Limited research exists on zygomaticomaxillary complex (ZMC) fracture patterns and their correlation with injury mechanisms.
- Understanding these variations is crucial for effective treatment planning.
Purpose of the Study:
- To analyze ZMC fracture patterns and their relationship with the etiology of trauma.
- To identify variations from classical ZMC fracture patterns.
Main Methods:
- Retrospective cohort study of maxillofacial trauma patients (2016-2020).
- Analysis of 163 isolated ZMC fractures using computed tomography scans.
- Categorization of trauma etiology (e.g., road traffic accidents, falls, violence).
Main Results:
- Most ZMC fractures (65.64%) deviated from classical patterns.
- Road traffic accidents were the predominant cause (88.3%).
- A significant association was found between ZMC fracture patterns and trauma etiology (P < .0001).
Conclusions:
- ZMC fracture patterns vary significantly and are linked to the mechanism of injury.
- Treatment strategies may need adjustment based on observed fracture variations.
- Further research and potential additional interventions are suggested.
