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Surgical Methods of Zygomaticomaxillary Complex Fracture

  • Ji, So Young (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Kim, Seung Soo (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Kim, Moo Hyun (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Yang, Wan Suk (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital)
  • 투고 : 2016.09.02
  • 심사 : 2016.12.15
  • 발행 : 2016.12.20

초록

Background: Zygoma is a major buttress of the midfacial skeleton, which is frequently injured because of its prominent location. Zygoma fractures are classified according to Knight and North based on the direction of anatomic displacement and the pattern created by the fracture. In zygomaticomaxillary complex (ZMC) fracture many incisions (lateral eyebrow, lateral upper blepharoplasty, transconjunctival, subciliary, subtarsal, intraoral, direct percutaneous approach) are useful. We reviewed various approaches for the treatment of ZMC fractures and discussed about incisions and fixation methods. Methods: A retrospective review was conducted of patients with ZMC fracture at a single institution from January 2005 to December 2014. Patients with single zygomatic arch fracture were excluded. Results: The identified 694 patients who were admitted for zygomatic fractures from which 192 patients with simple arch fractures were excluded. The remaining 502 patients consisted of 439 males and 63 females, and total 532 zygomatic bone was operated. Orbital fracture was the most common associated fracture. According to the Knight and North classification the most frequent fracture was Group IV. Most fractures were fixated at two points (73%). Conclusion: We reviewed our cases over 10 years according to fracture type and fixation methods. In conclusion, minimal incision, familiar approach and fixation methods of the surgeon are recommended.

키워드

참고문헌

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피인용 문헌

  1. Application of computer-assisted surgery techniques in the management of zygomatic complex fractures vol.21, pp.5, 2018, https://doi.org/10.1016/j.cjtee.2018.01.007
  2. Inferomedially impacted zygomatic fracture reduction by reverse vector using an intraoral approach with Kirschner wire vol.48, pp.1, 2016, https://doi.org/10.5999/aps.2020.02173