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Zygomaticomaxillary complex fracture after two-jaw surgery
Orthognathic surgeries often utilize rigid fixation for stabilization of the osteotomy site. The longterm fate of rigid fixations is still under investigation, and whether they should be routinely removed is under debate despite their low complication rates. Here, we report a case where a 26-year-ol...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Cleft Palate-Craniofacial Association
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644343/ https://www.ncbi.nlm.nih.gov/pubmed/33143398 http://dx.doi.org/10.7181/acfs.2020.00276 |
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author | Park, Joseph Kyu-hyung Kim, Sang Wha |
author_facet | Park, Joseph Kyu-hyung Kim, Sang Wha |
author_sort | Park, Joseph Kyu-hyung |
collection | PubMed |
description | Orthognathic surgeries often utilize rigid fixation for stabilization of the osteotomy site. The longterm fate of rigid fixations is still under investigation, and whether they should be routinely removed is under debate despite their low complication rates. Here, we report a case where a 26-year-old man suffered high-velocity trauma to his face 7 years after a two-jaw surgery. Computed tomography examination revealed a zygomaticomaxillary complex fracture, and open reduction and internal fixation was performed along with anterior maxillary wall reconstruction using absorbable mesh. Intraoperative examination revealed a broken L-shaped titanium plate near the fracture site with multiple bony fragments near each titanium screw. The rigid titanium system may have caused comminution of the fracture pattern, worsening the severity of the fracture. |
format | Online Article Text |
id | pubmed-7644343 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Cleft Palate-Craniofacial Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-76443432020-11-13 Zygomaticomaxillary complex fracture after two-jaw surgery Park, Joseph Kyu-hyung Kim, Sang Wha Arch Craniofac Surg Case Report Orthognathic surgeries often utilize rigid fixation for stabilization of the osteotomy site. The longterm fate of rigid fixations is still under investigation, and whether they should be routinely removed is under debate despite their low complication rates. Here, we report a case where a 26-year-old man suffered high-velocity trauma to his face 7 years after a two-jaw surgery. Computed tomography examination revealed a zygomaticomaxillary complex fracture, and open reduction and internal fixation was performed along with anterior maxillary wall reconstruction using absorbable mesh. Intraoperative examination revealed a broken L-shaped titanium plate near the fracture site with multiple bony fragments near each titanium screw. The rigid titanium system may have caused comminution of the fracture pattern, worsening the severity of the fracture. Korean Cleft Palate-Craniofacial Association 2020-10 2020-10-20 /pmc/articles/PMC7644343/ /pubmed/33143398 http://dx.doi.org/10.7181/acfs.2020.00276 Text en Copyright © 2020 The Korean Cleft Palate-Craniofacial Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Park, Joseph Kyu-hyung Kim, Sang Wha Zygomaticomaxillary complex fracture after two-jaw surgery |
title | Zygomaticomaxillary complex fracture after two-jaw surgery |
title_full | Zygomaticomaxillary complex fracture after two-jaw surgery |
title_fullStr | Zygomaticomaxillary complex fracture after two-jaw surgery |
title_full_unstemmed | Zygomaticomaxillary complex fracture after two-jaw surgery |
title_short | Zygomaticomaxillary complex fracture after two-jaw surgery |
title_sort | zygomaticomaxillary complex fracture after two-jaw surgery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644343/ https://www.ncbi.nlm.nih.gov/pubmed/33143398 http://dx.doi.org/10.7181/acfs.2020.00276 |
work_keys_str_mv | AT parkjosephkyuhyung zygomaticomaxillarycomplexfractureaftertwojawsurgery AT kimsangwha zygomaticomaxillarycomplexfractureaftertwojawsurgery |