Prajapati Virendra-Kumar, Shahi Ajoy-Kumar, Prakash Om, Ekram Subia
Tutor. Department of Oral and Maxillofacial Surgery. Dental Institute. Rajendra Institute of Medical Sciences.
Professor. Head of Department. Department of Oral and Maxillofacial Surgery. Dental Institute. Rajendra Institute of Medical Sciences.
J Clin Exp Dent. 2021 Mar 1;13(3):e215-e220. doi: 10.4317/jced.57445. eCollection 2021 Mar.
Zygomatic complex fracture is second most common mid face fracture and frequent amongst the maxillofacial trauma. Fracture pattern ranges from simple to comminuted and from minimally displaced to severely displaced depending on various factors.
98 patients with zygomaticomaxillary complex fracture reporting during December 2017 to January 2020 were included in the study. On the basis of radiographic evaluation and computerized tomography scan (CT scan) with 3D reconstruction severity of fracture was assessed and different treatment options were selected.
Road traffic accident accounted as the leading cause of fracture (57.1%) followed by self-fall (16.3%), interpersonal violence (12.3%). Reduction and semi rigid fixation was done in (83.7%), in which 1-point fixation in (22.9%), 2-point fixation in (42.4%) and 3-point fixation in (18.4%). Rest 16.3 % of the cases were managed conservatively since they had minimal displacement.
Road traffic incident was the main etiology in our study and younger age group patients were more involved. Occipitomental radiograph and computerized tomography scan (CT scan) were used to confirm the diagnosis and to determine the severity of displacement of zygomatic fracture on the basis of which treatment options were decided. Incidence, etiology and management zygomaticomaxillary complex fracture.
颧骨复合体骨折是第二常见的面中部骨折，在颌面部创伤中较为频发。根据各种因素，骨折类型从简单到粉碎，从轻度移位到重度移位不等。
本研究纳入了2017年12月至2020年1月期间报告的98例颧骨上颌复合体骨折患者。基于影像学评估和三维重建的计算机断层扫描（CT扫描）评估骨折的严重程度，并选择不同的治疗方案。
道路交通事故是骨折的主要原因（57.1%），其次是自行摔倒（16.3%）、人际暴力（12.3%）。83.7%的患者进行了复位和半刚性固定，其中单点固定占22.9%，两点固定占42.4%，三点固定占18.4%。其余16.3%的病例因移位极小而采取保守治疗。
在我们的研究中，道路交通事故是主要病因，且年轻患者群体更为常见。采用枕颏位X线片和计算机断层扫描（CT扫描）来确诊并确定颧骨骨折的移位严重程度，在此基础上决定治疗方案。颧骨上颌复合体骨折的发病率、病因及治疗。
