Isolated Zygomatic bone fracture: assessment of outcome by two point fixation.

  • Khushboo Abdullah LUMHS, Jamshoro.
  • Muhammad Shahzad LUMHS.
  • Abdul Wahid Bhangwar Liaquat University Hospital Hyderabad.
  • Syed Ghazanfar Hassan LUMHS.
  • Suneel Kumar Panjabi LUMHS.
Keywords: Isolated Zygomatic Bone Fracture, Outcome, Two Point Fixation

Abstract

Objectives: The purpose of the present study was to assess the outcome of two-point fixation in isolated zygomatic bone fracture. Study Design: Descriptive study. Setting: Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, LUMHS, Jamshoro/Hyderabad. Period: From 1/3/2018 to 31/8/2018. Material & Methods: Consisted of 46 patients with displaced isolated zygomatic bone fractures. All fractures were treated by reduction with transoral (Keen’s) approach & fixation was done by two point fixation with titanium miniplates. Patient was discharged from the hospital next day & advised follow-up after two weeks. Mean ± St & ard deviation was computed for qualitative variables. Diplopia was described in frequencies. Mouth opening was measured on 7th day or 1 month & measured in 1mm by metallic ruler. T-test was applied to find the P Value. Results: There were 34 male & 12 female patients. 56.5% injuries were caused by road traffic accident. Mean mouth opening at 1st week was 25.23±5.15mm & at 2nd week was 38.75±2.00 mm. At 1st week diplopia was found in 26.1% subjects while at 2nd week, diplopia was found in 10.9% subjects. There was significant difference in mean mouth opening at 1st week with 2nd week. The results also showed significant association of diplopia at 1st week with 2nd week. Conclusion: isolated zygomatic fractures can be reduced & immobilized by two-point fixation with screws & titanium mini bone plates at frontozygomatic & the zygomatic buttress area. Post-operative complications i.e. opening of mouth & diplopia were suggestively decreased afterward 15 days of treatment.

Author Biographies

Khushboo Abdullah, LUMHS, Jamshoro.

BDS

Postgraduate Trainee Oral & Maxillofacial Surgery

 

Muhammad Shahzad, LUMHS.

BDS, FCPS, FFDRCS (Ireland)

Associate Professor Oral & Maxillofacial Surgery

 

Abdul Wahid Bhangwar, Liaquat University Hospital Hyderabad.

BDS, Msc

Dental Surgeon Oral & Maxillofacial Surgery

Syed Ghazanfar Hassan, LUMHS.

BDS, FFDRCS (Ireland)

Professor Oral & Maxillofacial Surgery

 

Suneel Kumar Panjabi, LUMHS.

BDS, FCPS

Associate Professor Oral & Maxillofacial Surgery

 

Published
2020-02-10