A study on the classification and treatment of zygomatic complex fractures.
- Author:
Dong-mei HE
1
;
Yi ZHANG
;
Zhen-kang ZHANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Child; Female; Fracture Fixation, Internal; adverse effects; methods; Humans; Male; Maxillary Fractures; surgery; Middle Aged; Multiple Trauma; surgery; Radiography; Zygomatic Fractures; classification; diagnostic imaging; surgery
- From: Chinese Journal of Stomatology 2004;39(3):211-discussion 213
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate a new classification and treatment of zygomatic complex fractures (ZCF) by clinical and radiographic studies.
METHODSStandard radiographs with Waters, submental vertex views had been obtained before and after operation in 206 patients (212 sides) with ZCF. Patients with complicated fractures underwent two and three dimensional CT. Computer-assisted measuring system was used to measure the degree of displacement.
RESULTSZCF were classified into 3 types and 6 subtypes according to the degree of displacement of segments and facial deformities. Treatment principles were proposed. The results were satisfied through clinical application and measurement of post-operative images.
CONCLUSIONSThe treatment for ZCF should be selected according to the fracture types. The key of operation is to recover the malar prominence. Remodeling the length and radian of zygomatic arch guarantee the recovery of malar prominence. Zygomatic-sphenoid and zygomatic-maxillary fissures are very important reference marks for reduction and fixation.
