Department of Oral and Maxillofacial Surgery and Periodontology, School of Dentistry of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto, SP, Brazil.
Dent Traumatol. 2011 Apr;27(2):135-42. doi: 10.1111/j.1600-9657.2010.00971.x.
BACKGROUND/AIM: The aim of this retrospective study was to evaluate the epidemiology, treatment, and complications of zygomatico-orbital complex (ZOC) and/or zygomatic arch (ZA) fractures either associated with other facial fractures or not over a 71-month period.
This survey was performed in three hospitals of Ribeirao Preto in Sao Paulo, Brazil, from August 2002 to July 2008. The records of 1575 patients with facial trauma were reviewed. There were 140 cases of ZOC and ZA fractures either associated with other facial fractures or not. Data regarding gender, age, race, addictions, day of trauma, etiology, signs and symptoms, oral hygiene condition, day of initial evaluation, hospital admission, day of surgery, surgery approach, pattern of fractures, treatment performed, post-operative antibiotic therapy, day of hospital discharge, and post-operative complications were collected. The data were subjected to descriptive statistical analyses.
The most frequent fractures affected Caucasian men and occurred during the fourth decade of life. The most frequent etiology was traffic accident, and symptoms and signs included pain and edema. Type I fractures were the main injury observed, and the treatment of choice was always rigid internal fixation. Post-operative antibiotic therapy was solely employed when there was an indication. Complications were observed in 13.1% of the cases.
The treatment protocol yielded suitable post-operative results and also showed success rates comparable to published data around the world.
背景/目的：本回顾性研究的目的是评估在 71 个月的时间内，颧骨-眶复合体（ZOC）和/或颧骨弓（ZA）骨折是否与其他面部骨折相关联的流行病学、治疗和并发症。
本调查在巴西圣保罗里贝朗普雷托的三家医院进行，时间为 2002 年 8 月至 2008 年 7 月。回顾了 1575 例面部创伤患者的记录。有 140 例 ZOC 和 ZA 骨折，要么与其他面部骨折相关联，要么不相关联。收集的数据包括性别、年龄、种族、成瘾情况、创伤日、病因、体征和症状、口腔卫生状况、初次评估日、住院日、手术日、手术方法、骨折类型、所进行的治疗、术后抗生素治疗、出院日和术后并发症。对数据进行了描述性统计分析。
最常见的骨折影响白种人男性，发生在生命的第四个十年。最常见的病因是交通事故，症状和体征包括疼痛和肿胀。I 型骨折是主要损伤，首选的治疗方法始终是刚性内固定。仅当有指征时才使用术后抗生素治疗。13.1%的病例观察到并发症。
该治疗方案产生了合适的术后结果，并且显示出与世界各地发表的数据相当的成功率。
