Lateral orbital wall: an excellent guide for zygomatico-maxillary complex fracture reduction | ||||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||||
| Article 2, Volume 12, Issue 4, October 2021, Page 240-244 PDF (547.86 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/omx.2022.102063.1141 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mohamed Koraitim* ; Aly Atteya | ||||
| Maxillofacial and Plastic Surgery Department, Faculty of Dentistry, Alexandria University, Egypt | ||||
| Abstract | ||||
| Background: Zygomatico-maxillary complex (ZMC) fracture usually occur in the setting of severe facial trauma. Proper reduction of such fracture is important for achieving good aesthetic and functional result. The patient usually presents with facial swelling and the fracture could be isolated or associated with other facial fractures, ocular or intracranial injury. Methods: a prospective study was conducted on 32 patients with ZMC fracture without concomitant maxillofacial fractures. The lateral orbital wall was used as the main reference for proper reduction. The results were evaluated subjectively by the degree of regain of malar prominence, and facial symmetry. Results: proper reduction with excellent and good results was achieved in 25 and 7 patients, respectively. None of our patients had fair or poor results. Conclusion: We found that the lateral orbital wall is a useful index for assessment of proper reduction in term of degree of displacement and rotation of the zygomatic bone. | ||||
| Keywords | ||||
| zygomatic fractures; malar projection; zygomatic arch fracture; lateral orbital wall | ||||
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