Karthikeyan, D (2011) Minimization of Zygomatic Complex Fracture Treatment: A Prospective Study. Masters thesis, Tamilnadu Government Dental College and Hospital, Chennai.
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Abstract
SUMMARY AND CONCLUSION: This study was conducted in the Department of Oral and Maxillofacial Surgery, Tamilnadu Government Dental College, Chennai-3. Thirty five cases of fractured zygomaticomaxillary complex were chosen and were treated by reducing with Stacey malar hook, and one-point fixation with stainless steel miniplate under local anesthesia. The results obtained have been gratifying. The merits and demerits of this procedure have been discussed. Based on the study, the following conclusions are made, • Two wheeler accidents (without helmets) are the major cause of lateral middle third facial fractures. • Use of the hook and one-point fixation, allows fracture management to be conducted as a level I office procedure. • The technique followed is cost effective. • The frontozygomatic region allows for both, visualization of the fracture reduction as well as for fixation. • The use of miniplate in one of the strongest buttresses of the face allows for stable results with minimized treatment. It can be concluded that zygomatic bone fractures can sufficiently be treated by hook reduction and an internal fixation with one miniplate at the lateral orbital rim. Additional plates at the infraorbital rim or in the region of the zygomaticomaxillary crest are indicated only in cases where the zygomatic bone cannot be reduced by hook reduction and single location fixation. This is by definition necessary only in cases of comminuted fractures. The very small fragments in the region of the facial wall of the maxillary sinus heal without problems as it is well known from the sinus or orthognathic operations. The same has to be postulated for fragments of the orbital floor. The use of minimized therapy in the management of isolated zygomaticomaxillary complex fractures is therefore quite justified as the advantages far outweigh the disadvantages.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Minimization ; Zygomatic Complex Fracture Treatment ; Prospective study. |
| Subjects: | DENTAL > Oral and Maxillofacial Surgery |
| Depositing User: | Kambaraman B |
| Date Deposited: | 13 May 2018 12:18 |
| Last Modified: | 13 May 2018 14:13 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/7779 |
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