Management of ZMO Fracture Using Transcutaneous Approaches Versus Retroseptal Transconjunctival Approach | ||||
| Ain Shams Dental Journal | ||||
| Article 11, Volume 23, Issue 3, September 2021, Page 62-70 PDF (799.15 K) | ||||
| Document Type: Original articles | ||||
| DOI: 10.21608/asdj.2022.127759.1113 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohannad Abdel Hamed Wahdan  1; Mohamed Abdel Mageed Katamish2; Amr Ghanem3; Youssef Elmansy4
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| 1Ain Shams Surgery Department | ||||
| 2Oral and Maxillofacial Surgery, Ain Shams University, Cairo, Egypt.‎ | ||||
| 3Department of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Ain-Shams University | ||||
| 4Head of Maxillofacial department of Maadi Military Hospital | ||||
| Abstract | ||||
| Objective: ZMO fracture indicated for ORIF can be accessed using many approaches, comparison and evaluation of methods was mandatory to reveal the most convenient approach with special attention to surgical scar appearance and patient’s esthetics. Design: Prospective study of the ZMO trauma patients. Participants: Twenty-one patients were operated. Distributed in three groups seven patients in each. Groups represented the three approaches, transconjunctival, subtarsal and subciliary. Additional healthy un-operated patients were examined as control. Methods: Patients suffering from ZMO fracture were randomly distributed and operated using the three mentioned approaches. Patients were evaluated post operatively regarding to esthetic outcome, patient satisfaction, pain, incidence of poor wound healing and the quality of fixation. Results: Modified Vancouver Scar Scale (MVSS) results showed lower values for Transconjunctival approach (4 ±1.225) followed by Subtarsal approach (6 ±2.83) and highest value for Subciliary approach (7.2 ±1.095). With statistically significant difference between Subciliary and Transconjunctival but there is no statistically significant difference between Subtarsal and the other two groups. Conclusions: The transconjunctival approach was associated with lower rates of complications, patient complaints and pain. | ||||
| Keywords | ||||
| ZMO; ORIF; midface trauma | ||||
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