Surgical Management of Zygomatico-Maxillary Complex Fractures in Enam Medical College Hospital, Savar: A Retrospective Study of 70 Cases

Authors

  • Abdullah Al Faruq Assistant Professor, Department of Maxillofacial Surgery, Enam Medical College, Savar, Dhaka
  • Manjur-E-Mahmud Assistant professor, OMF Surgery, Chittagong Medical College, Chittagong
  • Shakil Shahriar Assistant Registrar, Department of Maxillofacial Surgery, Enam Medical College, Savar, Dhaka
  • Sharmin Sultana Consultant Dental Surgeon, Ibn Sina Hospital, Dhaka

DOI:

https://doi.org/10.3329/jemc.v12i2.75777

Keywords:

Zygomatic complex fractures, Open reduction internal fixation, Zygomaticomaxillary buttress

Abstract

Background:  The incidence of maxillofacial injuries is on the rise due to motor vehicle accidents and increased incidence of violence in recent times. Zygomatic bone is closely associated with the maxilla, frontal, and temporal bones which are usually involved when a zygomatic bone fracture occurs. Objective:  The aim of this retrospective study was to determine clinical presentations, the pattern of fractures, their management (open reduction and internal fixation), outcome and complications in a tertiary level hospital. Materials and Methods: This retrospective analysis of all operative cases (open reduction and internal fixation) of zygomatic complex fractures was carried out in the Maxillofacial Surgery Department, Enam Medical College & Hospital, Savar, Dhaka during  the period of January 2018 to December 2021. Data were obtained from clinical notes and surgical records of the patients using standardized data collection form specifically designed to examine the variables and features of zygomatic complex fractures. Results: Seventy patients were allocated to surgical intervention. Two-point internal fixation was done in more than half (57.1%) of the cases. Six (8.6%) patients developed postoperative complications like paraesthesia, ectropion, scar, facial asymmetry. Twenty-five (35.7%) patients were found having limited mouth opening preoperatively and postoperative improvement occurred in 24 patients. All the patients had facial asymmetry preoperatively and postoperative improvement occurred in most cases. Only one patient had facial asymmetry in one year follow up. Conclusion: There is no consensus on standard treatment of zygomatic complex fractures, as made evident by the survey. Significant variability in fracture type warrants an individualized approach to management. A thorough review on zygomatic complex fracture management is provided.

J Enam Med Col 2022; 12(2): 102−108

Downloads

Download data is not yet available.
Abstract
67
PDF
67

Downloads

Published

2024-11-25

How to Cite

Abdullah Al Faruq, Manjur-E-Mahmud, Shakil Shahriar, & Sharmin Sultana. (2024). Surgical Management of Zygomatico-Maxillary Complex Fractures in Enam Medical College Hospital, Savar: A Retrospective Study of 70 Cases. Journal of Enam Medical College, 12(2), 102–108. https://doi.org/10.3329/jemc.v12i2.75777

Issue

Vol. 12 No. 2 (2022)

Section

Original Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

  • Copyright on any research article is transferred in full to Journal of Enam Medical College upon publication in the journal. The copyright transfer includes the right to reproduce and distribute the article in any form of reproduction (printing, electronic media or any other form).
  • Articles in the Journal of Enam Medical College are Open Access articles published under the Creative Commons CC BY License (https://creativecommons.org/licenses/by/4.0/)
  • This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.