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2019, Number 1

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Rev Cubana Estomatol 2019; 56 (1)

Fractures of the zygomatic complex

Morales ND, Grau LIB

Language: Spanish
References: 43
Page: 62-79
PDF size: 518.62 Kb.


ABSTRACT

Introduction: Due to its prominent convexity, the zygomatico-maxillary complex is very vulnerable to injuries. Objective: Address current notions about the diagnosis, classification, treatment and complications of fractures of the zygomatic complex. Methods: A literature review was conducted in September 2016. The evaluation included high impact journals from the Web of Science (29 journals) and 2 books. The databases MEDLINE, PubMed and SciELO were consulted, using the search terms "zygomatic fracture", "treatment", " epidemiology". Papers written in English were included, preferably from the last five years. Of the 109 papers obtained, the study considered 41. Data analysis and integration: Appropriate diagnosis based on clinical findings and the use of diagnostic aids allows classification of the fracture. The classification most commonly used in our environment is that of the Dental Practice Guidelines. Therapy modes may include surgery with fixation methods allowing greater or lesser stability. Complications may appear. Conclusions: The anatomical protrusion of malar bones accounts for the incidence of these fractures. Diagnosis should be based on interrogation, physical examination and the use of auxiliary diagnostic imaging. Waters radiography is a good imaging option. Upon classification of the fracture, a treatment plan is devised based on individual assessment of each case so as to prevent future complications.


REFERENCES

  1. Edward E. Fractures of the Zygomatic Complex and Arch. En: Fonseca R, Barber HD, Walker RV, Powers MP, Frost DE. Oral and maxillofacial trauma. St. Louis: Elsevier Inc; 2013.

  2. Huang W, Lynham A, Wullschleger M. Orbitozygomatic Fracture Repairs: Are Antibiotics Necessary? Craniomaxillofac Trauma Reconstr. 2015;8(4):271-6.

  3. Susarla SM, Bojovic B. Acute Intraorbital Hemorrhage following Reduction of a Displaced Orbitozygomaticomaxillary Complex Fracture. Craniomaxillofac Trauma Reconstr. 2015;8(3):221-7.

  4. Huempfner-Hierl H, Bohne A, Schaller A, Wollny G, Hierl T. Does facial soft tissue protect against zygomatic fractures? Results of a finite element analysis. Head Face Med. 2015;11:21.

  5. Foresta E, Torroni A, Gasparini G, Saponaro G, Longo G, Boniello R, et al. Use of NButyl-2-Cyanoacrylate (Glubran2(®)) in Fractures of Orbital-Maxillo-Zygomatic Complex. J Maxillofac Oral Surg. 2015;14(3):761-4.

  6. Li R, Zhang R, Li W, Pei F, He W. Analysis of 126 hospitalized elder maxillofacial trauma victims in central China. Med Oral Patol Oral Cir Bucal. 2015;20(4):e464-70.

  7. Cortese A, Caggiano M, Carlino F, Pantaleo G. Zygomatic fractures: Technical modifications for better aesthetic and functional results in older patients. Int J Surg. 2016 Sep;33(Suppl 1):S9-S15.

  8. Moreira García K, Morales Navarro D. Comportamiento de las fracturas máxilo- malares. Rev Cubana Estomatol [revista en Internet]. 2013;50(2). Acceso: 27/02/2016. Disponible en: http://www.revestomatologia.sld.cu/index.php/est/article/view/65/19

  9. Menon RP, Chowdhury SK, Semi RS, Gupta V, Rahman S, Balasundaram T. Comparison of ultrasonography with conventional radiography in the diagnosis of zygomatic complex fractures. J Craniomaxillofac Surg. 2016;44(4):353-6.

  10. Kühnel TS, Reichert TE. Trauma of the midface. Laryngorhinootologie. 2015;94 Suppl 1:S206-47.

  11. Jain V, Garg H. Intra-oral reduction of zygomatic fractures. Dent Traumatol. 2016;33(3):221-5.

  12. Bailey JS. Management of Zygomatic Complex Fractures. En: Miloro M, Ghali GE, Larsen PE, Waite PD. Peterson's Principles of Oral and Maxillofacial Surgery. London: BC Decker Inc; 2011.

  13. Cavalcante JR, Cavalcante Junior JR, Santos Peixoto T, Telles Pereira de Albuquerque T, Leite Cavalcanti A. Reduction and Fixation of Unstable Fractures of the Zygomatic Arch: Report of a Series of Cases. J Surg Tech Case Rep. 2015;7(2):29-31.

  14. Chen C, Yang Y, Gong X, He Y, An J, Zhang Y. A retrospective study of 1 009 patients with oral and maxillofacial fresh trauma. Zhonghua Kou Qiang Yi Xue Za Zhi. 2015;50(11):650-5.

  15. Yoon T, Choi Y, Cho J, Kim Y, Nam S. Primary Infraorbital Foramen Decompression for the Zygomaticomaxillary Complex Fracture: Is It Essential? J Craniofac Surg. 2016;27(1):61-3.

  16. Litschel R, Suárez GA. Management of Zygomatic Fractures: Bone and Arch. Facial Plast Surg. 2015;31(4):368-75.

  17. de Queiroz SB, de Lima VN, Bazani PL, Bonardi JP, Magro-Filho O. The Use of Foley Catheter for Treatment of Unstable Fracture Zygomatic Arch. J Craniofac Surg. 2016;27(4):1012.

  18. Saponaro G, Foresta E, D'Amato G, Forcione M, Pelo S, Moro A. Trancutaneous Versus Intraoral Approach to Isolated Zygomatic Arch Fractures: A Comparison of Two Techniques. J Craniofac Surg. 2016;27(2):e141-3.

  19. Foletti JM, Bruneau S, Puech B, Guyot L, Chossegros C. Life-threatening hemorrhage after zygomatic bone surgery. About 2 posttraumatic cases. Rev Stomatol Chir Maxillofac Chir Orale. 2016;117(3):183-7.

  20. Rao S, Rao S. Use of Mono Cortical Screws as an Aid to Zygomatic Complex Fracture Reduction. J Maxillofac Oral Surg. 2015;14(1):126-7.

  21. Kumar S, Shubhalaksmi S. Clinical outcome following use of transconjunctival approach in reducing orbitozygomaticomaxillary complex fractures. Contemp Clin Dent. 2016;7(2):163-9.

  22. Baylan JM, Jupiter D, Parker WL, Czerwinski M. Management of Zygomatic Fractures: A National Survey. J Craniofac Surg. 2016 Jul 14. [Epub ahead of print]

  23. Susarla SM, Peacock ZS. Zygomaticomaxillary Complex Fracture. Eplasty. 2014;14:ic27.

  24. Başaran K, Saydam FA, Pilancı Ö, Sağır M, Güven E. Optimal treatment of zygomatic fractures: a single-center study results. Kulak Burun Bogaz Ihtis Derg. 2016;26(1):4250.

  25. Ye L, Li K, Liu L. Application of surgical navigation technology in the treatment of zygomatic fracture. Hua Xi Kou Qiang Yi Xue Za Zhi. 2015 Jun;33(3):322-5.

  26. Uemura T, Watanabe H, Masumoto K, Chuman T, Satake Y, Yanai T, et al. Transconjunctival Approach for Zygomatic Fracture: A Single Surgeon's Experience of More Than 20 Years. Plast Reconstr Surg Glob Open. 2016;4(6):e757.

  27. Fernández Olarte H, Abello S, Castro-Núñez J. A Modified Lateral Canthal Approach for the Treatment of Zygomatic Complex Fractures. J Oral Maxillofac Surg 2014;72:1552.e1-1552.e3.

  28. Ishida K. Evolution of the surgical approach to the orbitozygomatic fracture: From a subciliary to a transconjunctival and to a novel extended transconjunctival approach without skin incisions. J Plast Reconstr Aesthet Surg. 2016;69(4):497-505.

  29. Dakir A, Muthumani T, Prabu NP, Mohan R, Maity A. One point fixation of zygomatic tripod fractures in the zygomatic buttress through Keen's intraoral approach: A review of 30 cases. J Pharm Bioallied Sci. 2015 Apr;7(Suppl 1):S238-S241.

  30. Mahmoud SM, Liao HT, Chen CT. Aesthetic and Functional Outcome of Zygomatic Fractures Fixation Comparison With Resorbable Versus Titanium Plates. Ann Plast Surg. 2016 Mar;76 Suppl 1:S85-90.

  31. Panchanathan S, Saranathan M, Kamalakaran AK, Duraisamy K. Functional Evaluation of the Behavior of Masticatory Muscles in Zygomaticomaxillary Complex Fracture: A Prospective Study. J Contemp Dent Pract. 2016 Jun 1;17(6):463-9.

  32. Luo Q, Xiao W, Chen Y, Zhang L. Clinical study on endoscope-assisted repair of zygomatic arch fracture. Hua Xi Kou Qiang Yi Xue Za Zhi. 2016;34(2):166-8.

  33. Mundinger GS, Daniel M, Sacks JM. Zygomatic Arch Fracture With Coronoid Impingement. Eplasty. 2015;15:ic5.

  34. Pedemonte C, Sáez F, Vargas I, González E, Canales M, Lazo D, et al. C-arm as intraoperative control in reduction of isolated zygomatic arch fractures: a randomized clinical trial. Oral Maxillofac Surg. 2016;20(1):79-83.

  35. Medvedev YA, Petruk PS, Shamanaeva LS, Volkova VA, Davidov AR. The use of Foley catheter in reconstructive procedures involving the middle third of the facial skeleton. Stomatologiia (Mosk). 2016;95(3):31-7.

  36. Huang W, Lynham A, Wullschleger M. Orbitozygomatic Fracture Repairs: Are Antibiotics Necessary? Craniomaxillofac Trauma Reconstr. 2015;8(4):271-6.

  37. Ozakpinar HR, Sari E, Tellioglu AT, Sandikci MM, Inozu E, Seven E, et al. Comparison of Subciliary Approaches in Orbito-Zygomatic Fractures: Skin Flap Versus Skin-Muscle Flap. J Craniofac Surg. 2015;26(7):2094-8.

  38. Das AK, Bandopadhyay M, Chattopadhyay A, Biswas S, Saha A, Balkrishna UM, et al. Clinical Evaluation of Neurosensory Changes in the Infraorbital Nerve Following Surgical Management of Zygomatico-Maxillary Complex Fractures. J Clin Diagn Res. 2015;9(12):ZC54-8.

  39. Morales Navarro D, Rodríguez Robaina G. Deformidad facial postraumática asociada a complicación por silastic orbitario 35 años después de implantado. Rev Cubana Estomatol [revista en Internet]. 2015;52(4):[aprox. 5 p.]. Acceso: 27/02/2016. Disponible en: http://www.revestomatologia.sld.cu/index.php/est/article/view/810

  40. Balakrishnan K, Ebenezer V, Dakir A, Kumar S, Prakash D. Management of tripod fractures (zygomaticomaxillary complex) 1 point and 2 point fixations: A 5-year review. J Pharm Bioallied Sci. 2015;7(Suppl 1):S242-7.

  41. Choi KY, Ryu DW, Yang JD, Chung HY, Cho BC. Feasibility of 4-point fixation using the preauricular approach in a zygomaticomaxillary complex fracture. J Craniofac Surg. 2013;24(2):557-62.

  42. Shaye DA, Tollefson TT, Strong EB. Use of Intraoperative Computed Tomography for Maxillofacial Reconstructive Surgery. JAMA Facial Plast Surg. 2015;17(2):113-9.

  43. Singh M, Ricci JA, Caterson EJ. Use of Intraoperative Computed Tomography for Revisional Procedures in Patients with Complex Maxillofacial Trauma. Plast Reconstr Surg Glob Open. 2015;3(7):e463.




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