Fractures of the Zygomaticomaxillary Complex and Their Treatment: A Case Report

1University Hospital Center “Mother Theresa” Department of Oral and Maxillofacial Surgery Dibra str. 370 10010 Tirana Albania

Summary

Fractures of the zygomaticomaxillary complex are the second most common of all facial fractures. Several fixation methods have been used over the years, including wire osteosynthesis, lag screw fixation, transfacial Kirschner wire fixation, titanium plate and screw fixation, and more recently, resorbable plating system. Internal fixation with titanium plates and screw provides the most rigid fixation and thus greater immobility of the fracture segments. The degree of immobilization created with titanium plates and screws also allows fixation at fewer anatomic points.

Keywords: Zygomatic complex; Fractures; Internal fixation

References

  1. Lieblich SE, Piecuch JF. Orbital-zygomatic trauma. In: Kelly JP (Ed). Oral and maxillofacial surgery knowledge update. Vol 1, part II. Rosemont, Ill: AAOMS, 1995; pp 165-176.
  2. Stewart MG (Ed). Head, neck, and face trauma. New York: Thieme, 2005; pp 68-76.
  3. Bailey JS, Goldwasser MS. Management of zygomatic complex fractures. In: Miloro M, (Ed). Peterson’s principles of oral and maxillofacial surgery, Hamilton: BC Decker, 2004; pp 445-462.
  4. Wong MEK, Johnson JV. Management of mid face injuries. In: Fonseca R, Marciani R, Hendler B (Eds). Oral and maxillofacial surgery. Vol 3. Philadelphia: WB Saunders, 2000; pp 245-299.
  5. Prein J. Manual of internal fixation in the craniofacial skeleton. New York: Springer-Verlag, 1998; pp 133-148.
  6. Chotkowski G, Eggleston TI, Buchbinder D. Lagscrew fixation of a nonstable zygomatic complex fracture: A case report. J Oral Maxillofac Surg, 1997; 55:183-185.
  7. Gruss JS, Van Wyck L, Phillips JH, et al. The importance of the zygomatic arch in complex midfacial fracture repair and correction of post-traumatic orbitozygomatic fracture deformities. Plast Reconstr Surg, 1990; 85:878-890.
  8. Kushner GM. Surgical approaches to the infraorbital rim and orbital floor: the case for the transconjunctival approach. J Oral Maxillofac Surg, 2006; 64:108-110.
  9. Ellis E, Kittidumkerng W. Analysis of treatment for isolated zygomaticomaxillary complex fractures. J Oral Maxillofac Surg, 1996; 54:386-400, discussion 400-401.
  10. Hoelzle F, Klein M, Schwerdtner O, et al. Intraoperative computed tomography with the mobile CT Tomoscan M during surgical treatment of orbital fractures. Int J Oral Maxillofac Surg, 2001; 30:26-31.
  11. Bagheri SC, Meyer RA, Khan HA, et al. Microsurgical repair of peripheral trigeminal nerve injuries from maxillofacial trauma. J Oral Maxillofac Surg, 2009; 67:1791-1799.
Citation Information: Balkan Journal of Dental Medicine. Volume 20, Issue 1, Pages 40–43, ISSN (Online) 2335-0245, DOI: https://doi.org/10.1515/bjdm-2016-0006, April 2016

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