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The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures

STATEMENT OF THE PROBLEM: Treating zygomaticomaxillary complex fractures (ZMC Fx) can result in postoperative complications that should be minimized by choosing the best surgical approach. PURPOSE: This study compared incidence rates of some common postoperative complications with emphasis on ectrop...

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Autores principales: Mehrnoush, Momeni Roochi, Amir, Jalal Abbasi, Hamed, Zahedipour, Narges, Hajiani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shiraz University of Medical Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8206604/
https://www.ncbi.nlm.nih.gov/pubmed/34150942
http://dx.doi.org/10.30476/DENTJODS.2020.84853.1101
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author Mehrnoush, Momeni Roochi
Amir, Jalal Abbasi
Hamed, Zahedipour
Narges, Hajiani
author_facet Mehrnoush, Momeni Roochi
Amir, Jalal Abbasi
Hamed, Zahedipour
Narges, Hajiani
author_sort Mehrnoush, Momeni Roochi
collection PubMed
description STATEMENT OF THE PROBLEM: Treating zygomaticomaxillary complex fractures (ZMC Fx) can result in postoperative complications that should be minimized by choosing the best surgical approach. PURPOSE: This study compared incidence rates of some common postoperative complications with emphasis on ectropion (an outward curling of the lower eyelid) and entropion (an inward curling of the lower eyelid) occurring with transconjunctival or subciliary approaches for the treatment of ZMC fractures. MATERIALS AND METHOD: This prospective study enrolled 80 patients with ZMC Fx who had been surgically treated. Patients were visited within one month and five months postoperatively by the same surgeon. An information checklist was completed for each patient for clinical assessment of postoperative complications. RESULTS: There was no significant difference between the two groups in the type of trauma (simple or comminuted) (p= 0.1) or the frequency of ectropion and entropion one month and five months postoperatively (p> 0.05). The same results were observed for history of massage under the eye or around the field of surgery (p= 0.151), scleral show (p= 0.414), history of post-surgical epiphora (overflow of tears and accumulation of tear) (p= 0.059), duration of the use of suspension/frost sutures (used to prevent eyelid distortion secondary to wound injury applied at the skin inferior to the incision to help elevate the lid) (p= 0.057), and the use of porex (an alloplastic material over the defect in the orbital floor) (p= 0.91). CONCLUSION: There was no significant difference between the transconjunctival approach and the subciliary approach in terms of common postoperative complications such as ectropion and entropion.
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spelling pubmed-82066042021-06-18 The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures Mehrnoush, Momeni Roochi Amir, Jalal Abbasi Hamed, Zahedipour Narges, Hajiani J Dent (Shiraz) Original Article STATEMENT OF THE PROBLEM: Treating zygomaticomaxillary complex fractures (ZMC Fx) can result in postoperative complications that should be minimized by choosing the best surgical approach. PURPOSE: This study compared incidence rates of some common postoperative complications with emphasis on ectropion (an outward curling of the lower eyelid) and entropion (an inward curling of the lower eyelid) occurring with transconjunctival or subciliary approaches for the treatment of ZMC fractures. MATERIALS AND METHOD: This prospective study enrolled 80 patients with ZMC Fx who had been surgically treated. Patients were visited within one month and five months postoperatively by the same surgeon. An information checklist was completed for each patient for clinical assessment of postoperative complications. RESULTS: There was no significant difference between the two groups in the type of trauma (simple or comminuted) (p= 0.1) or the frequency of ectropion and entropion one month and five months postoperatively (p> 0.05). The same results were observed for history of massage under the eye or around the field of surgery (p= 0.151), scleral show (p= 0.414), history of post-surgical epiphora (overflow of tears and accumulation of tear) (p= 0.059), duration of the use of suspension/frost sutures (used to prevent eyelid distortion secondary to wound injury applied at the skin inferior to the incision to help elevate the lid) (p= 0.057), and the use of porex (an alloplastic material over the defect in the orbital floor) (p= 0.91). CONCLUSION: There was no significant difference between the transconjunctival approach and the subciliary approach in terms of common postoperative complications such as ectropion and entropion. Shiraz University of Medical Sciences 2021-06 /pmc/articles/PMC8206604/ /pubmed/34150942 http://dx.doi.org/10.30476/DENTJODS.2020.84853.1101 Text en Copyright: © Journal of Dentistry https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 Unported License, ( http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Mehrnoush, Momeni Roochi
Amir, Jalal Abbasi
Hamed, Zahedipour
Narges, Hajiani
The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures
title The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures
title_full The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures
title_fullStr The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures
title_full_unstemmed The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures
title_short The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures
title_sort incidence of common complications, including ectropion and entropion, in transconjunctival and subciliary approaches for treatment of zmc fractures
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8206604/
https://www.ncbi.nlm.nih.gov/pubmed/34150942
http://dx.doi.org/10.30476/DENTJODS.2020.84853.1101
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