Monarchi Gabriele, Girotto Riccardo, De Feudis Francesco, Racano Carmine, Balercia Paolo
Department of medicine, Section of maxillo-facial surgery, University of Siena, Viale Bracci, Siena, 53100 Italy.
Division of Maxillofacial Surgery, Department of Neurological Sciences, University Hospitals of Ancona, Ancona, Italy.
Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5359-5363. doi: 10.1007/s12070-024-04977-1. Epub 2024 Aug 17.
The purpose of this study was to do a retrospective analysis about patients with zygomatic arch who were treated at the department of Maxillofacial Surgery, Regional University Hospital of Ancona, Italy, between 2007 and 2021. Patients were evaluated based on various parameters including age, sex, aetiology, symptoms, comorbidity, clinical findings, zygomatic arch fracture type, other facial fractures, treatment, waiting time before the operation, complications and sequelae. In the period described we recorded 103 zygomatic arch fractures. Of the patients, 64 were male (65,92%) and 39 were female (34,08%). The average age of the patients was 47,02 years (ranging from 8 to 93 years). The leading cause of these fractures was sports-related injury ( = 24; 23,30%), and isolated fractures were the most frequent (63,1%). The most common clinical signs and symptoms were, pain, depression of the facial profile, difficulty in chewing, limitation of the buccal opening, difficulty in protrusion movements and mandibular lateralization. 93% of patients underwent surgery under local anesthesia, almost exclusively patients undergoing an open approach to internal fixation. The successful and effective management of fractures requires a solid understanding of its anatomy, pathophysiology and related biomechanical structures and forces. The continuous research in epidemiology, aetiology, materials and techniques will further refine our treatments which are nowadays more and more customized according to the type of trauma.
本研究的目的是对2007年至2021年期间在意大利安科纳地区大学医院颌面外科接受治疗的颧弓骨折患者进行回顾性分析。根据年龄、性别、病因、症状、合并症、临床检查结果、颧弓骨折类型、其他面部骨折、治疗方法、手术前等待时间、并发症和后遗症等各种参数对患者进行评估。在所描述的时间段内，我们记录了103例颧弓骨折。其中男性64例（65.92%），女性39例（34.08%）。患者的平均年龄为47.02岁（范围为8岁至93岁）。这些骨折的主要原因是与运动相关的损伤（n = 24；23.30%），孤立性骨折最为常见（63.1%）。最常见的临床体征和症状是疼痛、面部轮廓凹陷、咀嚼困难、颊部开口受限、前伸运动困难和下颌侧方运动困难。93%的患者在局部麻醉下接受手术，几乎所有患者都采用开放入路进行内固定。骨折的成功有效处理需要对其解剖结构、病理生理学以及相关生物力学结构和力量有扎实的了解。在流行病学、病因学、材料和技术方面的持续研究将进一步完善我们的治疗方法，如今这些治疗方法越来越根据创伤类型进行定制。
