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Evaluation of results with three-point visualization of zygomaticomaxillary complex fractures
G J Makowski1, J E Van Sickels
1Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center at San Antonio, USA.
Objective:
To retrospectively evaluate the results of three-point visualization and liberal rigid fixation for the treatment of unilateral zygomaticomaxillary fractures by assessing the incidence and severity of complications.
Study Design:
Fourteen patients were examined an average of 19 months after 3-point visualization with multiple points of rigid fixation for their unilateral zygomaticomaxillary fractures. Patients were evaluated for asymmetry in globe position, superior tarsal fold size, diplopia, lateral canthus height, and malar projection.
Results:
The following were found: two patients with significant changes in globe position, none with diplopia in direct gaze, two with diplopia in extreme gazes, two with severe tarsal fold asymmetry, five with mild tarsal fold asymmetry, and two with noticeable malar asymmetry.
Conclusion:
Three-point visualization and liberal rigid fixation for zygomaticomaxillary fracture treatment results in a low incidence of complications that are proportional in severity to the trauma sustained.