![]() The most frequent postoperative complication was malunion secondary to Gillies treatment (4,6%). The most frequent type of treatment applied was Gillies reduction (61.9%), followed by ORIF (30.9%). Fractures with displacement (OR – 7.1 p = 0.003) were independently associated with the presence of excoriation. Complete zygomatic fracture (OR – 2.68 p = 0.035) and fractures with displacement (OR – 3.66 p = 0.012) were independently associated with the presence of laceration. ![]() Hematoma was the most frequent associated soft tissue lesion n = 102 (42.1%) regardless of the fracture pattern ( p = 1.000). The study included 242 patients with zygomatic bone fractures. After using the Bonferroni correction for multiple comparisons, a value of p < 0.025 was considered statistically significant. Multivariate logistic regressions were used in order to establish the independent association between variables and lacerations/excoriations. The comparisons of the frequencies of a nominal variable among the categories of another nominal variable were made using the chi-square test. Nominal data were expressed as frequency and percentage. Statistical analysis was performed with the MedCalc Statistical Software version 19.2 (MedCalc Software bvba, Ostend, Belgium 53 2020). MethodsĪ 10-year retrospective evaluation of midface fractures was performed in patients diagnosed and treated in a tertiary Clinic of Oral and Maxillofacial Surgery. We will use these results in order to improve the diagnosis and the establishment of correct treatment of this pathology. ![]() The aim of this study was to evaluate the clinical features of zygomatic bone fractures and their interrelation with concomitant overlying soft tissue injuries, as well as to assess the type of treatment methods applied depending on the fracture pattern and the results achieved depending on the incidence rate of postoperative complications. In this context the clinical diagnosis and the therapeutic indications can be difficult. ![]() If the decision is made to perform an open reduction and internal fixation, one must be concerned about the plate size, and possible palpation of the plate through the skin.The pattern of zygomatic bone fractures varies in the literature, their features being frequently masked by the presence of associated soft tissue lesions. In most patients, there is little soft tissue over the zygomatic arch. Care must be taken not to injure this nerve. The temporal branch of the facial nerve runs in close proximity to the periosteum of the zygomatic arch. It is very important to restore the previous anatomy so that it matches the uninjured contralateral arch. Existing lacerations may also be used.Īlthough it is referred to as a zygomatic arch, most surgeons consider it is rather flat. Another reason for open treatment is secondary treatment of a zygomatic arch malunion where osteotomy and internal fixation are needed. ![]() It may be particularly desirable in a patient where a coronal approach has to be made for other reasons (such as for the treatment of a frontal sinus fracture or the harvest of a split calvarium bone graft). This has the advantage that it allows direct visualization of the zygomatic arch for fixation. If the surgeon considers the zygomatic arch deformity so severe that it cannot be adequately treated with a transoral (Keen) or temporal (Gillies) approach, or too unstable to be treated without fixation, an open treatment can be considered. ![]()
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