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zygomatico maxillary complex

Jing Zhan Lock, Raghuraj Hegde, Stephanie Young, Thiam Chye Lim, Shantha Amrith, Gangadhara Sundar
With an increased popularity of sport and active living worldwide, our study aims to explore the incidence and features of sports-related orbital fractures in Singapore. 1421 computer tomography (CT) imaging scans of the face and orbits done at the National University Hospital over a 24-month period from January 2013 and December 2014 were reviewed retrospectively for orbital fractures. We identified 483 orbital fractures of which sports injury was the fourth most common etiology (n = 65; 13.5%) after road traffic accident (n = 131; 27...
July 18, 2017: Orbit
Satishkumar G Patil, Bindu S Patil, Udupikrishna Joshi, Soumya Allurkar, Sharanabasappa Japatti, Ashwini Munnangi
BACKGROUND: With the development of urban setting worldwide, the major issue of concern is the increase in the mortality rate in the population due to road traffic accidents. The face, being the most exposed region is susceptible to injuries and maybe associated with injuries to the adjacent neuro-cranium. The literature has conflicting views on the relationship between facial fractures and head injuries with some authors opining that the facial skeleton cushions the brain while some other authors claim that the facial fractures act as indicators for head injuries...
September 2016: Indian Journal of Dentistry
Vaibhav Jain, Himani Garg
Zygomatico-maxillary complex fractures present a challenging diagnostic and reconstructive task to the surgeon. Gillie's temporal approach has been a commonly used technique for zygomatic arch reduction, but surgeons have been commonly using a buccal sulcus approach for the reduction of zygomatic arch fractures as well as for combined zygomatico-maxillary complex fractures. This article outlines the use of Rowe's elevator (modification of Bristow's elevator) intra-orally to reduce zygomatic arch fractures and, if required, simultaneously plate the zygoma through the same approach...
August 16, 2016: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Yu A Medvedev, P S Petruk, L S Shamanaeva, V A Volkova, A R Davidov
The aim of this study was to improve the efficiency of surgical treatment of patients with fractures involving zygomatico-orbital complex and maxillary sinus through the use of Foley catheter. 352 patients with fractures of the middle third of the facial skeleton were treated at the Departments of Oral & Maxillofacial Surgery in Novokuznetsk Institute and I.M. Sechenov First MSMU. All patients underwent open reduction and osteosynthesis using extramedullary titanium mini-plates and NiTi mini-clamps. In the cases with large bone defects additional reconstructive techniques were used such as replantation of bone fragments and endoprosthesis with NiTi implants...
2016: Stomatologii︠a︡
Saurabh Kumar, S Shubhalaksmi
BACKGROUND: The increasing emphasis on the open reduction and internal fixation of orbito-zygomatico-maxillary complex fractures has led to a more critical appraisal of the various surgical approaches to the orbital and zygomatic skeleton. Transconjunctival approach popularized by Tessier although credited to Bourquet in 1924 offer excellent exposure of the orbito-zygomatico-maxillary complex fracture especially the infra-orbital rim, frontozygomatic suture and the orbital floor. The argument against a transconjunctival access focuses primarily on concern about limited exposure that apparently makes accurate reduction and osteosynthesis of displaced fracture fragments difficult or impossible...
April 2016: Contemporary Clinical Dentistry
Asish Kumar Das, Monimoy Bandopadhyay, Abira Chattopadhyay, Sailendranath Biswas, Anindita Saha, Uke Manjeet Balkrishna, Vineet Nair
INTRODUCTION: Zygomatico-orbital fractures are the second most common facial injuries. Trauma to mid-facial region can lead to an alteration or loss of sensation in the facial region which sometimes requires early surgical intervention to aid in an early recovery. AIM: To evaluate the different neurosensory changes in the infraorbital nerve function following common treatment modalities used in the management of zygomatico-maxillary complex fractures. MATERIALS AND METHODS: Thirteen patients selected for the study had unilateral zygomatic complex fracture with altered sensation in the region of distribution of the infraorbital nerve...
December 2015: Journal of Clinical and Diagnostic Research: JCDR
G C Rajkumar, D P Ashwin, Rohit Singh, R Prashanth, K B Rudresh
AIM: The aim of this study is retrospective analysis of ocular injuries after maxillofacial trauma reporting to the Department of Oral and Maxillofacial Surgery at V.S. Dental College and Kempegowda Institute of Medical Sciences and Hospital, Bangalore. STUDY DESIGN: A retrospective analysis of ocular injuries following facial trauma from 2008 to 2013. RESULTS: Road traffic incident was the most common etiology (55.46 %). Zygomaticomaxillary complex fracture was the most common fracture associated with ocular injuries (67...
December 2015: Journal of Maxillofacial and Oral Surgery
Susmitha Rajmohan, David Tauro, Bhupesh Bagulkar, Anuj Vyas
AIMS: The coronal incision with its various modifications provides the most versatile approach to various areas in the craniomaxillofacial region coupled with excellent exposure. The aesthetic advantage of a hidden scar in the hairline, accounts for its continued popularity. The aim of this study was to review the surgical anatomy, technique and problems of post-operative morbidity pertinent to coronal approach in various clinical situations such as craniofacial trauma, tumour resections and reconstructive craniofacial procedures...
August 2015: Journal of Clinical and Diagnostic Research: JCDR
Vipul Garg, Girish B Giraddi, Swati Roy
OBJECTIVE: This study evaluated and compared the efficacy of mandible and iliac bone as autogenous bone graft for correction of orbital floor fractures. PATIENTS AND METHODS: Twenty patients who suffered orbital floor fractures took part in the study. The subjects enrolled in the study sustained both isolated orbital floor fracture and orbital floor fracture associated with fracture of zygomatico-maxillary complex. Each inferior orbital wall was reconstructed using either a mandible bone graft or an iliac graft...
June 2015: Journal of Maxillofacial and Oral Surgery
Rohit Sharma, Naveen Chhabra, Parveen Sharma, Shruti Chhabra
PURPOSE: To study effects of zygomatico maxillary fractures and fracture reduction on intra ocular pressure (IOP). MATERIALS AND METHODS: IOPs of 20 patients with unilateral zygomatico-maxillary complex (ZMC) fractures (divided into 2 groups of 10 undisplaced, 10 displaced) were measured at various time intervals. The relationship between IOPs between the two groups at various time intervals was recorded and evaluated using independent T-tests. RESULTS: 20 subjects were divided into two equal groups (10 each of displaced and undisplaced fractures)...
June 2015: Journal of Maxillofacial and Oral Surgery
P Stoor, Karri Mesimäki, Christian Lindqvist, Risto Kontio
An isolated fracture of the orbital floor needs reconstruction if there is a clear herniation of adipose tissue or of the rectus inferior muscle into the maxillary sinus. A prospective study was carried out treating 20 patients with an isolated blow-out fracture of the orbital floor or with a combined zygomatico-orbito-maxillary complex fracture, using a newly designed anatomically drop-shaped implants made of bioactive glass (BAG) S53P4. Computed tomography (CT) was performed immediately postoperatively to confirm the correct position of the plate...
July 2015: Journal of Cranio-maxillo-facial Surgery
Sharadindu Mahadevappa Kotrashetti, Tejraj Pundalik Kale, Supriya Bhandage, Anuj Kumar
OBJECTIVES: Transpositioning of the inferior alveolar nerve to prevent injury in lower jaw has been advocated for orthognathic, pre-prosthetic and for implant placement procedures. However, the concept of infra-orbital nerve repositioning in cases of mid-face fractures remains unexplored. The infraorbital nerve may be involved in trauma to the zygomatic complex which often results in sensory disturbance of the area innervated by it. Ten patients with infraorbital nerve entrapment were treated in similar way at our maxillofacial surgery centre...
April 2015: Journal of the Korean Association of Oral and Maxillofacial Surgeons
Lijuan Yang, Chunming Liu, Wenmei Hua, Weidong Liu, Xiguang Wang, Kai Wang, Zhanle Zhang, Meifang Li, Hainan Duan
OBJECTIVE: To explore the procedure and effectiveness of sequential reduction and fixation for zygomatic complex fractures. METHODS: Between March 2004 and February 2012, 32 patients with zygomatic complex fractures were treated. There were 28 males and 4 females with a median age of 29 years (range, 17-55 years). Fractures were caused by traffic accident in 29 cases and by tumble in 3 cases. The time between injury and admission was 1-12 days (mean, 3 days) in 28 fresh fractures and 22-60 days (mean, 40 days) in 4 old fractures...
October 2013: Chinese Journal of Reparative and Reconstructive Surgery
Udaya Chand Das, A Stephen, Anitha Ross, Geetha Chary, Ashis K Chand
Angiofibroma extending to infratemporal fossa, orbit and middle cranial fossa is a difficult problem for a surgeon to tackle. Traditional extracranial excision with radiotherapy for the intracranial extension was practiced for a long time with variable results. Different approaches to remove such a tumour are described but most of them are not free from resultant morbidity in the form of facial asymmetry and incomplete tumour removal. Facial translocation approach facilitates complete tumour removal without cutting through the tumour thereby reducing per-operative blood loss...
January 2005: Indian Journal of Otolaryngology and Head and Neck Surgery
Virendra Singh, Bindu Sharma, Amrish Bhagol
OBJECTIVE: The present study was undertaken to evaluate and analyze the efficacy of bioresorbable plates and screws in internal fixation of zygomatico-maxillary complex (ZMC) fractures and to evaluate the incidence of complications associated with the procedure. STUDY DESIGN: Case series with planned data collection. SETTING: Pt BD Sharma University of Health Sciences. SUBJECT AND METHODS: A total of 14 patients with isolated ZMC fractures were included, and exclusion of grossly comminuted, pathological, and infected fractures was done...
December 2011: Otolaryngology—Head and Neck Surgery
Greg J Knepil, Richard A Loukota
Data regarding the use of prophylactic antibiotics and infection rate following surgery for fractures of the zygomatic bone is scarce. Therefore an audit of the use and outcomes of antibiotic prophylaxis for surgery of fractures of the zygoma was undertaken. Following audit approval, four maxillofacial surgery units in the Yorkshire Region gathered prospective data for 134 patients undergoing surgery for fractures of the zygoma. Data was collected on four groups of patients undergoing surgery for fractures of the zygomatic bone: uncomplicated reductions of the zygomatic arch, reductions of the zygomatic complex without mini-plate fixation, reductions of the zygomatic complex using mini-plate fixation but excluding zygomatico-maxillary buttress, and fixation of the zygomatic complex with miniplates including the zygomatico-maxillary buttress...
March 2010: Journal of Cranio-maxillo-facial Surgery
Wei Zhong Li, Mei Chao Zhang, Shao Ping Li, Lei Tao Zhang, Yu Huang
BACKGROUND: With the advent of CAD/CAM and rapid prototyping (RP), a technical revolution in oral and maxillofacial trauma was promoted to benefit treatment, repair of maxillofacial fractures and reconstruction of maxillofacial defects. METHODS: For a patient with zygomatico-facial collapse deformity resulting from a zygomatico-orbito-maxillary complex (ZOMC) fracture, CT scan data were processed by using Mimics 10.0 for three-dimensional (3D) reconstruction. The reduction design was aided by 3D virtual imaging and the 3D skull model was reproduced using the RP technique...
June 2009: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
C G Provatidis, B Georgiopoulos, A Kotinas, J P McDonald
It is well documented in the literature that a contracted maxilla is commonly associated with nasal obstruction. Midpalatal splitting using the rapid maxillary expansion (RME) technique produces separation of the maxillary halves with consequent widening of the nasal cavity. Although clinicians agree about many of the indications for and outcomes of RME, some disagreements persist in relation to the biomechanical effects induced. The present research was based on the parametric analysis of a finite element model (FEM) of a dry human skull with the RME appliance cemented in place in order to evaluate these effects on the overall craniofacial complex with different suture ossification...
October 2008: European Journal of Orthodontics
R Bryan Bell, Craig S Kindsfater
PURPOSE: The purpose of this preliminary retrospective study was to review the demographics and outcome of patients with a variety of facial fractures that were stabilized with PL bone plates and screws. MATERIALS AND METHODS: The records of 295 consecutive patients with facial fractures treated by open reduction and internal fixation, performed by the author from 2001 through 2004, were retrospectively reviewed. Patients were selected to receive biodegradable fixation on the basis of mechanism of injury, the degree of bony displacement demonstrated on clinical and radiographic examination, patient age, and fracture pattern or location...
January 2006: Journal of Oral and Maxillofacial Surgery
S J Badjate, K M Cariappa
Fracture of the zygomatic arch is usually treated using blind methods. As the fracture lines cannot be visualised directly in closed reduction, digital exploration and crepitus noise or conventional radiographic imaging are used clinically as a guide to reposition the fragments. Successful closed reductions are often difficult to evaluate clinically because of the great amount of swelling that often accompanies these fractures. Postoperative radiographs are often the only way to assess the adequacy of the reduction...
September 10, 2005: British Dental Journal
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