The malar complex refers to the zygoma and maxillary bones and therefore forms part of the orbital floor and lateral orbital wall. The ages of the patients ranged from 10 to 76 years old, mean age was 32. This is most commonly seen after assault, but any blow to the cheek may give rise to a fracture. Treatment and complications of orbitozygomatic fractures scielo. The zygoma also known as zygomatic bone or malar bone is an important facial bone which forms the prominence of the cheek.
Zygomatic complex fracture is the second most common fracture of facial region just. The authors describe a simple technique for reducing zygomatic arch fractures with a towel clip. Methods for the evaluation and management of patients with zygomatic fractures continue to evolve. In one case of occupational injury, a jockey was kicked by a horse resulting in. A cut is made around the eyes and inside the mouth to access the fracture. Orbitozygomatic fractures represent a type of maxillofacial injury that happens very often due to the. In the roentgenographic analysis of 72 cases of zygomatic fractures encountered in the gracenew haven community hospital during the past 7 years we found that in a high percentage of cases, there was a definite or suggestive sign of fracture of the zygomatic arch, namely, an oval or rec tangular, vertical. Fracture zygoma and its management our experience core. Through the incision just below the lower eyelid skin, the subciliary. A zygoma fracture is often the result of facial trauma such as violence, falls or. They are the second most common facial bone fracture after nasal bone fractures pathology. Zygomaticomaxillary complex fracture linkedin slideshare.
Management of zygomaticomaxillary complex zmc fractures should be based on injury patterns and not on training background. Zmc complex fracture right zygomaticomaxillary complex fracture with disruption. Evaluation of treatment of zygomatic bone and zygomatic. Zygomaticomaxillary complex fracture wikimili, the free. The most direct approach in reducing a zygomatic fracture is to insert a carrollgirard screw. Image profiled with cmyk may print differently than expected. Repair of a displaced zygomatic arch fracture is unlike just about every other facial fracture other than that of the nasal bones. The orbital rim and zygomatic arch are outlined with a marking pen. These fractures occur most commonly as the result of assaults or motor vehicle collisions. Discussion the zygomaticomaxillary complex fracture, also known as a quadripod fracture, quadramalar fracture, and formerly referred to as a tripod fracture or trimalar fracture. The zygomatic complex also helps in transmitting the occlusal forces to the skull base. Reduction of zygomatic fractures using the carrollgirard tbar screw article pdf available in archives of plastic surgery 395. Postoperative radiographs of a complex zygomatic fracture. According to the site of fracture, the patients were divided into three groups.
The zygomaticomaxillary complex fracture, also known as a quadripod fracture, quadramalar fracture, and formerly referred to as a tripod fracture or trimalar fracture, has four. Zygomatic complex fractures and its management acta scientific. Zygomatic fracture zygomatic zygomatic arch fracture type 4 dislocated fracture of zygomatic bone with diastase is available on the lateral orbital rim with dorsokaudaler shear. Moreover the importance of zygomatic complex in facial skeleton lies inprotecting globe of eye and absorbing and redistributing masticatory andexternal load.
Complex fractures with comminution of the zygomatic bone indicates zingg fracture types in which the orbital contents are at risk. The diagnosis of such fractures can be made by one or more of the following clinical signs. Displaced fractures of the zygomatic bone can result in significant functional and aesthetic sequelae. The physician reduces a fracture of the malar complex. Md, who was the first in their group to suggest and routinely use the upper eyelid incision for zygomatic complex fracture reduction. The maxillary bone was the most common to have an associated fracture figure 6. Therefore for cosmetic and functional reasons it is imperative to diagnoseand treat zygomatic fractures adequately. A new classification of zygomatic fracture featuring. Zygoma fractures are easy to miss and displaced fractures require treatment within 10 days. What is an orbitozygomatic maxillary fracture repair. Zygomatic complex fractures are one of the frequently occurring maxillofacial injuries owing to.
A simple zygomatic fracture is a hairline break in the zygoma, or cheekbone. The temporal process, which forms zygomatic arch a1frontal process, which forms lateral orbital wall a2maxillary process, which forms. It is located in an area where direct surgical access is impossible. The zygoma forms part of the floor and lateral wall of the orbit and the zygomatic arch is an important feature in the structure and appearance of the face. Zygoma arch fracture an overview sciencedirect topics. Zygoma or cheek bone fracture of zygoma is not usually present alone. The fracture will be realigned and then fixed together using titanium plate and screws.
A, attempted waters projection showing a vertical radiopaque density in the area of the left zygomatic arch. Zygomatic fracture zygomatic zygomatic arch fracture type. The incidence of isolated bilateral zygomatic fractures has not been reported secondary to. Pdf reduction of zygomatic fractures using the carroll.
The zygoma forms a significant portion of the floor and lateral wall of the orbit and. Surgical management of zygomatic complex fractures in a major. Other fracture patterns, include isolated zygomatic arch fractures, or zmc fractures with associated panfacial fractures, such as le fort ii and iii. What is an orbito zygomatic maxillary fracture repair.
Zygomaticomaxillary complex fracture deepak k gupta 2. The vast majority of zygomatic fractures occur in men in their third decade of life. The zygomatic bone occupies a prominent and important position in the facial skeleton. Open treatment of depressed malar fracture, including zygomatic arch and malar tripod lay description code. Note the bone graft arrow this was to make good a continuity defect. Fracture lines usually run through the infraorbital rim, involve the posterolateral orbit, and extend to the inferior orbital fissure. The researchers consider the previous classification system should be improved. Please use one of the following formats to cite this article in your essay, paper or report. This plays a key role in the structure and function of. This is zygomatic arch fracture reduction using a temporal approach. The zygomatic arch, or cheek bone, is formed by the zygomatic process of the temporal bone and the temporal process of the zygomatic bone, the two being united by an. Principles of internal fixation of the craniomaxillofacial skeletontrauma and. The fracture will be realigned and then fixed together.
Symptoms of zygomatic fractures include those produced by hemorrhage and edema. Management of zygomatic fractures pocket dentistry. Zygomaticomaxillary complex fracture radiology reference. I have a zygomatic arch fracture with no deformities. Evaluation of zygomatic complex fractures based on three. Comminuted fracture zygoma open reduction and fixation.
A zygoma fracture zygomatic fracture is a form of facial fracture caused by a fracture of the zygomatic bone. In these situations, the bone will heal completely and will. Reduction of zygomatic arch fracture using a towel clip. Understanding the classification scheme described by. Fractures of the zygomatic complex and arch pocket. Avoid and manage common complications associated with zygomatic fracture repair. These will stay in place unless they cause problems, in which case a second operation will be required to remove them.
Please make sure the file is set in the rgb or srgb color profile this is the default profile in most cameras. Definitions zygoma is a very crucial component which maintains facial contour. Many zygomatic fractures which have good bony alignment despite the fracture do not require any treatment at all. Complex fractures may include the cheekbone and part of the orbit of the eye. A total of 67 conjunctival and secondary incisions were made on 46 patients for repair of zygomatic fractures. Diagnosis and management of common maxillofacial injuries. For complex zygomatic fractures, the coronal approach allows for extensive degloving of the facial bones. The zygomaticomaxillary complex fracture, also known as a quadripod fracture, quadramalar fracture, and formerly referred to as a tripod fracture or trimalar fracture, has four components. Pdf zygomaticomaxillary complex fracture researchgate.