TY - JOUR
T1 - Surgical treatment of unilateral zygomaticomaxillary complex fractures
T2 - A 7-year observational study assessing treatment outcome in 153 cases
AU - van Hout, Wouter M M T
AU - Van Cann, Ellen M.
AU - Koole, Ronald
AU - Rosenberg, AJWP
PY - 2016/11
Y1 - 2016/11
N2 - This study investigates treatment outcome in zygomaticomaxillary complex (ZMC) fracture repair. Methods The medical records and CT-images of patients that received treatment for a unilateral ZMC fracture in 2005–2011 were studied. ZMC fractures were categorised as incomplete (type A), tetrapod (type B) or comminuted (type C). The incidence of sequelae, wound infection and secondary surgical interventions was analysed per fracture category. Results A total of 153 patients were treated in the selected period. Persisting sensory disturbances in the area innervated by the infraorbital nerve were observed in 50 cases (37%), facial asymmetry in 19 cases (14%), enophthalmos in 10 cases (7%) and persisting diplopia in 9 cases (7%). Wound infection occurred in 6 cases (4%). Secondary surgical procedures of the ZMC, orbital floor, and/or extraocular muscles were performed in 14 cases (9%). C-type fractures were associated with more secondary corrections for ZMC malreduction (12%, p = 0.03), more secondary reconstructions of the orbital floor (10%, p
AB - This study investigates treatment outcome in zygomaticomaxillary complex (ZMC) fracture repair. Methods The medical records and CT-images of patients that received treatment for a unilateral ZMC fracture in 2005–2011 were studied. ZMC fractures were categorised as incomplete (type A), tetrapod (type B) or comminuted (type C). The incidence of sequelae, wound infection and secondary surgical interventions was analysed per fracture category. Results A total of 153 patients were treated in the selected period. Persisting sensory disturbances in the area innervated by the infraorbital nerve were observed in 50 cases (37%), facial asymmetry in 19 cases (14%), enophthalmos in 10 cases (7%) and persisting diplopia in 9 cases (7%). Wound infection occurred in 6 cases (4%). Secondary surgical procedures of the ZMC, orbital floor, and/or extraocular muscles were performed in 14 cases (9%). C-type fractures were associated with more secondary corrections for ZMC malreduction (12%, p = 0.03), more secondary reconstructions of the orbital floor (10%, p
KW - Fracture
KW - Maxillofacial trauma
KW - Sequelae
KW - Wound infection
KW - Zygoma
KW - Zygomaticomaxillary complex fracture
UR - http://www.scopus.com/inward/record.url?scp=84990857203&partnerID=8YFLogxK
U2 - 10.1016/j.jcms.2016.09.002
DO - 10.1016/j.jcms.2016.09.002
M3 - Article
C2 - 27733307
AN - SCOPUS:84990857203
SN - 1010-5182
VL - 44
SP - 1859
EP - 1865
JO - Journal of Cranio-Maxillofacial Surgery
JF - Journal of Cranio-Maxillofacial Surgery
IS - 11
ER -