Browse > Article
http://dx.doi.org/10.7181/acfs.2020.00276

Zygomaticomaxillary complex fracture after two-jaw surgery  

Park, Joseph Kyu-hyung (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Kim, Sang Wha (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Publication Information
Archives of Craniofacial Surgery / v.21, no.5, 2020 , pp. 301-304 More about this Journal
Abstract
Orthognathic surgeries often utilize rigid fixation for stabilization of the osteotomy site. The longterm fate of rigid fixations is still under investigation, and whether they should be routinely removed is under debate despite their low complication rates. Here, we report a case where a 26-year-old man suffered high-velocity trauma to his face 7 years after a two-jaw surgery. Computed tomography examination revealed a zygomaticomaxillary complex fracture, and open reduction and internal fixation was performed along with anterior maxillary wall reconstruction using absorbable mesh. Intraoperative examination revealed a broken L-shaped titanium plate near the fracture site with multiple bony fragments near each titanium screw. The rigid titanium system may have caused comminution of the fracture pattern, worsening the severity of the fracture.
Keywords
Jaw fixation techniques; Orthognathic surgery; Osteotomy, Le Fort; Zygomatic fractures;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Orringer JS, Barcelona V, Buchman SR. Reasons for removal of rigid internal fixation devices in craniofacial surgery. J Craniofac Surg 1998;9:40-4.   DOI
2 Wilson GW, Iovino WM. Severe facial trauma after orthognathic surgery with rigid fixation. J Oral Maxillofac Surg 1989;47:640-2.   DOI
3 Murthy AS, Lehman JA Jr. Symptomatic plate removal in maxillofacial trauma: a review of 76 cases. Ann Plast Surg 2005;55:603-7.   DOI
4 Nagase DY, Courtemanche DJ, Peters DA. Plate removal in traumatic facial fractures: 13-year practice review. Ann Plast Surg 2005;55:608-11.   DOI
5 Chu SG, Lee JS, Lee JW, Yang JD, Chung HY, Cho BC, et al. Comparisons among four types of absorbable plates used for internal fixation of zygomaticomaxillary complex fractures. J Craniomaxillofac Surg 2019;47:383-8.   DOI
6 el Deeb M, Wolford L, Bevis R. Complications of orthognathic surgery. Clin Plast Surg 1989;16:825-40.   DOI
7 D'Agostino A, Trevisiol L, Gugole F, Bondi V, Nocini PF. Complications of orthognathic surgery: the inferior alveolar nerve. J Craniofac Surg 2010;21:1189-95.   DOI
8 Jung GS, Kim TK, Lee JW, Yang JD, Chung HY, Cho BC, et al. The effect of a condylar repositioning plate on condylar position and relapse in two-jaw surgery. Arch Plast Surg 2017;44:19-25.   DOI
9 Ueki K, Miyazaki M, Okabe K, Mukozawa A, Marukawa K, Moroi A, et al. Assessment of bone healing after Le Fort I osteotomy with 3-dimensional computed tomography. J Craniomaxillofac Surg 2011;39:237-43.   DOI
10 Brandtner C, Hachleitner J, Rippel C, Krenkel C, Gaggl A. Long-term skeletal and dental stability after orthognathic surgery of the maxillo-mandibular complex in Class II patients with transverse discrepancies. J Craniomaxillofac Surg 2015;43:1516-21.   DOI
11 Dobbins JJ, Seligson D, Raff MJ. Bacterial colonization of orthopedic fixation devices in the absence of clinical infection. J Infect Dis 1988;158:203-5.   DOI
12 Ballon A, Landes CA, Zeilhofer HF, Herzog M, Klein C, Sader R. The importance of the primary reconstruction of the traumatized anterior maxillary sinus wall. J Craniofac Surg 2008; 19:505-9.   DOI
13 Gosain AK, Song L, Corrao MA, Pintar FA. Biomechanical evaluation of titanium, biodegradable plate and screw, and cyanoacrylate glue fixation systems in craniofacial surgery. Plast Reconstr Surg 1998;101:582-91.   DOI
14 Patel PK, Morris DE, Gassman A. Complications of orthognathic surgery. J Craniofac Surg 2007;18:975-85.   DOI
15 Lee HR, Shin HK, Lee DL, Jung GY. Delayed-onset methicillin-resistant Staphylococcus aureus infection at 18 months after absorbable plate fixation for zygomaticomaxillary complex fracture. Arch Craniofac Surg 2016;17:229-32.   DOI
16 Kim YM, Lee JH. Clinical courses and degradation patterns of absorbable plates in facial bone fracture patients. Arch Craniofac Surg 2019;20:297-303.   DOI