Evaluation of intraoral Two-point fixation in Monobloc Zygomatic Complex Fractures | ||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||
| Article 5, Volume 12, Issue 3, July 2021, Pages 197-204 PDF (653.21 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/omx.2021.82856.1123 | ||
| Authors | ||
| Nour Yousri* ; Abd Elfattah Sadakah; Mahmoud Khalifa; Emad Essa | ||
| Department of Oral and Maxillofacial Surgery Faculty of Dentistry Tanta University | ||
| Abstract | ||
| Backgroud: esthetics could be as important as function in many patients suffering from zygomatic complex fractures. We aimed to evaluate a modified intraoral approach for treating isolated monobloc zygomatic complex fractures with two-point fixation at the zygomaticomaxillary buttress and infraorbital rim. Method: This is a single armed (non-controlled) clinical trial carried on twelve patients who were assigned to our study (n=12) with unilateral isolated zygomatic complex fracture. Treatment was evaluated clinically and radiographically using three-dimensional computed tomography, infraorbital nerve function assessment was done through mechanical, thermal and pain thresholds detection. Evaluation was done preoperatively, two-days, one week, one-month, two-months and three-months postoperatively. Results: Study showed male predominance over females (12:0). The aged ranged from 1852- with a mean of 33. 11 out of the twelve patients had the left side affected. Road traffic accidents was the major cause. Infraorbital nerve function was completely restored within two-months postoperatively. Infraorbital nerve paresthesia completely disappeared within two-months in 11 of our patients, one case reported persistent transient infraorbital nerve paresthesia. Conclusion: the modified intraoral approach although technique sensitive, provides excellent esthetic and functional results. Allowing the use of two-point fixation through a single incision avoiding any scars or postoperative complications to the eye from using the extraoral approaches. | ||
| Keywords | ||
| zygomatic complex fractures; approaches to the infraorbital rim; modified keen’s approach; two-point fixation | ||
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