keyword
https://read.qxmd.com/read/32855946/a-rare-fracture-pattern-with-extensive-disruption-of-the-zygomatico-orbito-maxillary-complex
#21
Priya Jeyaraj
A case of an unusually oriented fracture pattern and significant disruption of the right Zygomatico-orbito-maxillary complex, with severe comminution and gross displacement of its skeletal components, is described. Wide surgical access to all the fracture sites was provided by a combination of hemicoronal and intraoral surgical approaches. This enabled successful reduction, precise reapproximation, and stable fixation of the multiple displaced fracture fragments. An excellent restoration of the skeletal morphology and orbital volume to their original, preinjury status was achieved, obviating the development of any residual facial deformity, functional deficit or ocular complications...
January 2020: Annals of Maxillofacial Surgery
https://read.qxmd.com/read/32801539/feasibility-of-endoscopically-assisted-repair-of-zygomatico-maxillary-complex-orbital-fractures-case-series
#22
JOURNAL ARTICLE
Catherine S Chandran, Vivek Narayanan, Saravanan Chandran, P Priyadarshini, R Karthik
Aim: To assess the feasibility and the outcome of endoscopically assisted repair of zygomatico-maxillary complex orbital fractures in a tertiary care hospital. Materials and methods: A descriptive study was carried out over a period of 2 years (01. 11. 2014-31. 10. 2016). 0°-4 mm endoscopes were used for intra-operative endoscopic exploration. Regular armamentarium for management of maxillofacial trauma along with standard plating systems was used. Commercially available medical grade titanium meshes were utilised for orbital floor reconstruction...
September 2020: Journal of Maxillofacial and Oral Surgery
https://read.qxmd.com/read/31489873/management-of-ocular-dystopia-and-lacrimal-pathway-obstruction-in-old-multiple-midfacial-fractures-case-report
#23
V Casalita, Y Irawati
Midfacial fracture is discontinuity of the bone affect maxilla, palate, zygomatico-maxillary complex, nasal bones, orbits, nasal-orbital-ethmoid complex, and frontal sinus. Delayed treatment can lead to malunion or nonunion bone. A 28 years old man presented with epiphora of the left eye and upgaze diplopia. There were enophthalmos, hypoglobus of the left eye, flat nasal bridge, and depressed left malar eminence. CT scan examination revealed multiple fractures of left nasal bone, left and right anterolateral wall of maxillary sinuses, left medial orbital wall and orbital floor, and left zygomatic bone...
September 2019: Nigerian Journal of Clinical Practice
https://read.qxmd.com/read/31415600/radiographic-evaluation-of-percutaneous-transfacial-wiring-versus-open-internal-fixation-for-surgical-treatment-of-unstable-zygomatic-bone-fractures
#24
JOURNAL ARTICLE
Guillaume Giran, Arnaud Paré, Benjamin Croisé, Carine Koudougou, Jacques Marie Mercier, Boris Laure, Pierre Corre, Hélios Bertin
INTRODUCTION: The fixation of unstable zygomaticomaxillary complex (ZMC) fractures can be achieved by open reduction with rigid internal fixation (ORIF) and/or by closed reduction with percutaneous transfacial Kirschner wire fixation (CRWF). The aim of this study was to tomographically assess the symmetry and the protrusion of the cheekbone with unstable ZMC fractures that had been treated by ORIF vs. CRWF. MATERIALS AND METHODS: Sixty patients exhibiting a surgically unstable tetrapodal ZMC fracture were included in this multicenter retrospective study...
2019: PloS One
https://read.qxmd.com/read/30826428/muscle-entrapment-in-orbito-zygomatico-maxillary-complex-fracture
#25
JOURNAL ARTICLE
Jebrane Bouaoud, Matthieu Olivetto, Jeremie Bettoni, Bernard Devauchelle
No abstract text is available yet for this article.
February 28, 2019: Journal of Stomatology, Oral and Maxillofacial Surgery
https://read.qxmd.com/read/30615258/through-the-ages-aetiological-changes-in-maxillofacial-trauma
#26
JOURNAL ARTICLE
Maximilian Goedecke, Daniel G E Thiem, Daniel Schneider, Bernhard Frerich, Peer W Kämmerer
AIMS: The number of patients suffering maxillofacial trauma remains constant although the affected patients become older. The aim of this study was to illuminate the patterns of maxillofacial fractures in a University Medical Centre and to analyse potential changes in patient population and treatment methods during a 5-year period. MATERIALS AND METHODS: In a retrospective analysis, the records of 573 patients with maxillofacial fractures treated in a level one trauma centre from January 2010 to December 2014 were analysed with regard to gender, age, date and time of hospitalization as well as discharge, aetiology, type of fracture, surgery details, complications and further injuries...
April 2019: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://read.qxmd.com/read/30581084/coincidence-of-craniocerebral-and-craniofacial-injuries
#27
JOURNAL ARTICLE
Bartłomiej Błaszczyk, Maciej Studziński, Piotr Ładziński
PURPOSE: To determine the incidence of craniocerebral injuries in patients who experienced upper facial or midfacial traumas associated with the disorders of consciousness. To find which types of craniofacial traumas predisposed to craniocerebral injuries. To analyze a relationship between the site of the force application and the type of resultant craniocerebral injury. MATERIALS AND METHODS: The study included 3,481 patients with upper facial and midfacial traumas...
December 3, 2018: Journal of Cranio-maxillo-facial Surgery
https://read.qxmd.com/read/30574268/two-versus-three-point-internal-fixation-of-displaced-zygomaticomaxillary-complex-fractures
#28
JOURNAL ARTICLE
Wail Fayez Nasr, Ezzeddin ElSheikh, Mohammad Waheed El-Anwar, Ahmed Hassan Sweed, Awad Bessar, Nillie Ezzeldin
Despite the high frequency of the zygomaticomaxillary complex (ZMC) fractures, there is no consensus among facial reconstructive surgeons regarding the best surgical management; thus, surgical choice for ZMC fractures is still challenging. This study included 40 patients with displaced ZMC fracture. Twenty patients were treated with open reduction and internal fixation (OR/IF) using two-point fixation technique (at infraorbital margin and zygomaticofrontal buttress region) and the remaining 20 patients were treated with OR/IF using three-point fixation technique (at frontozygomatic suture, infraorbital margin, and zygomatico maxillary buttress)...
December 2018: Craniomaxillofacial Trauma & Reconstruction
https://read.qxmd.com/read/28718704/a-study-of-sports-related-orbital-fractures-in-singapore
#29
JOURNAL ARTICLE
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...
October 2017: Orbit
https://read.qxmd.com/read/27795644/the-facial-skeleton-armor-to-the-brain
#30
JOURNAL ARTICLE
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
https://read.qxmd.com/read/27527916/intra-oral-reduction-of-zygomatic-fractures
#31
JOURNAL ARTICLE
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...
June 2017: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://read.qxmd.com/read/27367196/-the-use-of-foley-catheter-in-reconstructive-procedures-involving-the-middle-third-of-the-facial-skeleton
#32
JOURNAL ARTICLE
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
https://read.qxmd.com/read/27307661/clinical-outcome-following-use-of-transconjunctival-approach-in-reducing-orbitozygomaticomaxillary-complex-fractures
#33
JOURNAL ARTICLE
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
https://read.qxmd.com/read/26816993/clinical-evaluation-of-neurosensory-changes-in-the-infraorbital-nerve-following-surgical-management-of-zygomatico-maxillary-complex-fractures
#34
JOURNAL ARTICLE
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
https://read.qxmd.com/read/26604465/ocular-injuries-associated-with-midface-fractures-a-5%C3%A2-year-survey
#35
JOURNAL ARTICLE
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
https://read.qxmd.com/read/26435993/coronal-hemicoronal-approach-a-gateway-to-craniomaxillofacial-region
#36
JOURNAL ARTICLE
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
https://read.qxmd.com/read/26028849/comparison-of-efficacy-of-mandible-and-iliac-bone-as-autogenous-bone-graft-for-orbital-floor-reconstruction
#37
JOURNAL ARTICLE
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
https://read.qxmd.com/read/26028839/evaluation-of-intra-ocular-pressure-in-zygomatico-maxillary-complex-fractures
#38
JOURNAL ARTICLE
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
https://read.qxmd.com/read/25957104/the-use-of-anatomically-drop-shaped-bioactive-glass-s53p4-implants-in-the-reconstruction-of-orbital-floor-fractures-a-prospective-long-term-follow-up-study
#39
JOURNAL ARTICLE
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
https://read.qxmd.com/read/25922818/infraorbital-nerve-transpositioning-into-orbital-floor-a-modified-technique-to-minimize-nerve-injury-following-zygomaticomaxillary-complex-fractures
#40
JOURNAL ARTICLE
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
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