Journal: Drug Invention Today

Article Id: JPRS-Pcol-00002812
Title: Zygomatic complex fracture – A review
Category: Pharmacology
Section: Review Article
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    Introduction: Zygomaticomaxillary complex (ZMC) fractures are a group of fractures that can significantly alter the structure, function, and appearance of the midface, including the globe. Like other facial fractures, the optimal management of operative ZMC fractures requires anatomic reduction of all fractures followed by rigid internal fixation. However, surgical treatment of these fractures can be quite challenging with potential for high rates of complications. Materials and Methods: A total of 84 articles were identified through the database searches. Articles which were found to be review papers, summaries of other studies, or contained no data to inform the research questions were rejected, and a total of 34 articles were included in the review. Discussion: The ZMC fracture is also known as a quadripod fracture or quadramalar fracture, and formerly referred to as a tripod fracture or trimalar fracture has four components: The lateral orbital wall, separation of the maxilla and zygoma along the anterior maxilla, the zygomatic arch and the orbital floor near the infraorbital canal. The buttress is of two types (1) horizontal buttress and (2) vertical buttress. Classification - non displaced, displaced, comminuted, orbital wall fracture, zygomatic arch fracture knight, and north classification. Clinical features (1) anesthesia/paraesthesia of that side of the face, (2) inability to open the mouth, and (3) flattening of zygomatic area. Diagnosis - (1) computed tomography scan imaging, (2) endoscopy, and (3) enophthalmos. Majority of the patients were managed conservatively or Gillie’s procedure. Conclusion: The discussion about zygomatic complex fracture includes buttress system, classification, clinical features, diagnosis, and treatment. Surgical technique results in good bony alignment and esthetics. From this review, awareness on zygomatic complex fracture and treatment available for zygomatic complex fracture is known.

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    Author(s) Name:

    A. Swetaa1 , K. Yuvaraj Babu2 *, Karthik Ganesh Mohanraj2

    Affiliation(s) Name:

    1 Department of Anatomy, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India,

    2 Department of Anatomy, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India

    *Corresponding author: K. Yuvaraj Babu, Department of Anatomy, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.

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    Author:

    A. Swetaa1 , K. Yuvaraj Babu2 *, Karthik Ganesh Mohanraj2

    Title:Zygomatic complex fracture – A review
    Journal:Drug Invention Today
    Vol(issue):10 (October [ Special Issue 2 ])
    Year:2018
    Page No: (3058-3061)
  • Experimental Methods Keywords

    Methodology:Gillie’s procedure, Quadramalar fracture, Quadripod fracture
    Research Materials:Zygomatic complex fracture

Keywords

Gillie’s procedure Quadramalar fracture Quadripod fracture Zygomatic complex fracture Zygomaticomaxillary complex

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