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Indian Journal of Mednodent and Allied Sciences
Year : 2017, Volume : 5, Issue : 3
First page : ( 184) Last page : ( 189)
Print ISSN : 2347-6192. Online ISSN : 2347-6206.
Article DOI : 10.5958/2347-6206.2017.00030.9

Reduction and Fixation of Zygomatic Complex Fractures with Miniplates at the Fronto-zygomatic Suture and Zygomatic Buttress Area-A Clinical Study

 Pushpanjali1,*, Dayanandam M.2, Sultana Juweria3, Tatineni Kalyani4

1Associate Professor, Department of Oral and Maxillofacial Surgery, GDC & H, RIMS, Kadapa, Andhra Pradesh, India

2Assistant Professor, Department of Oral Medicine and Radiology, GDC & H, Hyderabad, Telangana, sindhudentalsdnr@gmail.com,

3III Year Post Graduate, Department of Oral Medicine and Radiology, GDC & H, Hyderabad, Telangana, juwerias1@gmail.com

4Ex Student, Department of Health Care Admistration, Central Michigan University, USA

*Corresponding author email id: sindhudentalsdnr@gmail.com

Online published on 14 March, 2018.

Abstract

Background

Zygomatico-maxillary complex fractures are one of the most frequently occurring injuries of the facial skeleton due to its position and also the facial contour. The principal aetiologic factors that may result in zygomatic bone fracture include assaults, road traffic accidents and also falls. There are many methods of fixation that have been applied for treatment of zygomatic arch fractures.

Aim

To reduce and fix the zygomatic complex fracture using miniplates at the fronto-zygomatic suture and zygomatic buttress area.

Material and method

The present study includes five cases of zygomatic complex fractures who visited the Department of Oral and Maxillofacial Surgery in Government Dental College and Hospital, Hyderabad. The operative procedure adopted was the lateral bow incision for exposure of fronto-zygomatic suture, the Gillie temporal approach for reducing the zygoma and intra-oral incision for exposure of zygomatic buttress fracture. Fixation was done with miniplates at the fronto-zygomatic suture and the zygomatic maxillary buttress suture.

Result

All the cases were successfully treated without any post-operative complications and with uneventful restoration of aesthetics and function.

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Keywords

Fronto-zygomatic suture, Gilles temporal approach, Miniplates, Zygomatic buttress, Zygomatic complex fractures.

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