Surgical Results of Zygomatico-Orbital Complex Fractures according to the 3-dimensional Classification.
- Author:
Sang Woo KIM
1
;
Chang Hwan LEE
;
Do Hoon PARK
Author Information
1. Department of Ophthalmology Wallace Memorial Baptist Hospital, Pusan, Korea. oph@wmbh.co.kr
- Publication Type:Original Article
- Keywords:
3-dimensional classification;
Microplate;
Zygomatico-orbital fracture
- MeSH:
Classification*;
Diagnosis;
Diplopia;
Enophthalmos;
Eyelids;
Facial Asymmetry;
Follow-Up Studies;
Humans;
Paresthesia;
Wound Infection
- From:Journal of the Korean Ophthalmological Society
2005;46(12):1957-1966
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To classify zygomatico-orbital fractures based on Zingg's classification and to evaluate the results of treatment. METHODS: Thirty patients who were diagnosed with zygomatico-orbital fracture between 2000 and 2004 were classified based on Zingg's classification, were treated and followed up for more than 3 months. Of the 30 patients, 28 received surgical treatment, including Gillies reduction or open reduction and rigid fixation with a microplate. RESULTS: The mean follow-up period was 6 months. Most of the patients were satisified with the results of surgery. There were no secondary operations due to facial asymmetry, secondary wound infection, microplate exposure or paresthesia. However, there were 3 re-operations for diplopia, enophthalmos, and lower eyelid retraction, respectively; the conditions had persisted until postoperative 2 weeks. CONCLUSIONS: The use of 3-dimensional Zingg's classification for zygomatico-orbital fractures appeared to be beneficial in making more accurate diagnoses and in determining surgical treatment. Oculoplastic approaches, including subciliary or transconjunctival incision, Gillies reduction and rigid fixation with a microplate, are considered to be good methods for the treatment of zygomatico-orbital fractures, as they are associated with exact anatomical and functional restoration and few complications.
