Cargando…

Two-Point versus Three-Point Fixation in the Management of Zygomaticomaxillary Complex Fractures: A Comparative Study

INTRODUCTION: The zygoma plays an important role in the facial contour for both cosmetic and functional reasons; therefore, zygomatic bone injuries should be properly diagnosed and adequately treated. Comparison of various surgical approaches and their complications can only be done objectively usin...

Descripción completa

Detalles Bibliográficos
Autores principales: Gawande, Mayur Janardan, Lambade, Pravin N., Bande, Chandrashekhar, Gupta, M. K., Mahajan, Monica, Dehankar, Tejaswini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8848716/
https://www.ncbi.nlm.nih.gov/pubmed/35265490
http://dx.doi.org/10.4103/ams.ams_75_20
_version_ 1784652313808338944
author Gawande, Mayur Janardan
Lambade, Pravin N.
Bande, Chandrashekhar
Gupta, M. K.
Mahajan, Monica
Dehankar, Tejaswini
author_facet Gawande, Mayur Janardan
Lambade, Pravin N.
Bande, Chandrashekhar
Gupta, M. K.
Mahajan, Monica
Dehankar, Tejaswini
author_sort Gawande, Mayur Janardan
collection PubMed
description INTRODUCTION: The zygoma plays an important role in the facial contour for both cosmetic and functional reasons; therefore, zygomatic bone injuries should be properly diagnosed and adequately treated. Comparison of various surgical approaches and their complications can only be done objectively using outcome measurements that require a protocol for management and long-term follow-up. The objectives of this study were to compare the efficacy of zygomatic bone after treatment with open reduction internal fixation (ORIF) using two-point fixation and ORIF using three-point fixation and compare the outcome of two procedures. MATERIALS AND METHODS: Twenty patients were randomly divided equally into two groups. In Group A, ten patients were treated by ORIF using two-point fixation by miniplates and in Group B, ten patients were treated by ORIF using three-point fixation by miniplates. They were evaluated with their advantages and disadvantages and the difference between the two groups was observed. RESULTS: We found that postoperative facial and neurological complications are minimum in two-point fixation group. Based on this study, open reduction and internal fixation using two-point fixation by miniplates is sufficient and the best available treatment of choice for the management of zygomaticomaxillary complex fractures. DISCUSSION: Alignment of the fracture at three points and fixation at two stable points provide the most accurate and satisfactory postoperative results. Two-point interosseous fixation at the “buttress” fracture and the frontozygomatic (FZ) fracture is suitable for routine surgery. The results of these studies confirm with the present study that two-point fixation provided better stability in patients with clinical and radiological evidence of fracture in FZ and zygomaticomaxillary buttress area.
format Online
Article
Text
id pubmed-8848716
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-88487162022-03-08 Two-Point versus Three-Point Fixation in the Management of Zygomaticomaxillary Complex Fractures: A Comparative Study Gawande, Mayur Janardan Lambade, Pravin N. Bande, Chandrashekhar Gupta, M. K. Mahajan, Monica Dehankar, Tejaswini Ann Maxillofac Surg Original Article - Comparative Study INTRODUCTION: The zygoma plays an important role in the facial contour for both cosmetic and functional reasons; therefore, zygomatic bone injuries should be properly diagnosed and adequately treated. Comparison of various surgical approaches and their complications can only be done objectively using outcome measurements that require a protocol for management and long-term follow-up. The objectives of this study were to compare the efficacy of zygomatic bone after treatment with open reduction internal fixation (ORIF) using two-point fixation and ORIF using three-point fixation and compare the outcome of two procedures. MATERIALS AND METHODS: Twenty patients were randomly divided equally into two groups. In Group A, ten patients were treated by ORIF using two-point fixation by miniplates and in Group B, ten patients were treated by ORIF using three-point fixation by miniplates. They were evaluated with their advantages and disadvantages and the difference between the two groups was observed. RESULTS: We found that postoperative facial and neurological complications are minimum in two-point fixation group. Based on this study, open reduction and internal fixation using two-point fixation by miniplates is sufficient and the best available treatment of choice for the management of zygomaticomaxillary complex fractures. DISCUSSION: Alignment of the fracture at three points and fixation at two stable points provide the most accurate and satisfactory postoperative results. Two-point interosseous fixation at the “buttress” fracture and the frontozygomatic (FZ) fracture is suitable for routine surgery. The results of these studies confirm with the present study that two-point fixation provided better stability in patients with clinical and radiological evidence of fracture in FZ and zygomaticomaxillary buttress area. Wolters Kluwer - Medknow 2021 2021-12-06 /pmc/articles/PMC8848716/ /pubmed/35265490 http://dx.doi.org/10.4103/ams.ams_75_20 Text en Copyright: © 2021 Annals of Maxillofacial Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article - Comparative Study
Gawande, Mayur Janardan
Lambade, Pravin N.
Bande, Chandrashekhar
Gupta, M. K.
Mahajan, Monica
Dehankar, Tejaswini
Two-Point versus Three-Point Fixation in the Management of Zygomaticomaxillary Complex Fractures: A Comparative Study
title Two-Point versus Three-Point Fixation in the Management of Zygomaticomaxillary Complex Fractures: A Comparative Study
title_full Two-Point versus Three-Point Fixation in the Management of Zygomaticomaxillary Complex Fractures: A Comparative Study
title_fullStr Two-Point versus Three-Point Fixation in the Management of Zygomaticomaxillary Complex Fractures: A Comparative Study
title_full_unstemmed Two-Point versus Three-Point Fixation in the Management of Zygomaticomaxillary Complex Fractures: A Comparative Study
title_short Two-Point versus Three-Point Fixation in the Management of Zygomaticomaxillary Complex Fractures: A Comparative Study
title_sort two-point versus three-point fixation in the management of zygomaticomaxillary complex fractures: a comparative study
topic Original Article - Comparative Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8848716/
https://www.ncbi.nlm.nih.gov/pubmed/35265490
http://dx.doi.org/10.4103/ams.ams_75_20
work_keys_str_mv AT gawandemayurjanardan twopointversusthreepointfixationinthemanagementofzygomaticomaxillarycomplexfracturesacomparativestudy
AT lambadepravinn twopointversusthreepointfixationinthemanagementofzygomaticomaxillarycomplexfracturesacomparativestudy
AT bandechandrashekhar twopointversusthreepointfixationinthemanagementofzygomaticomaxillarycomplexfracturesacomparativestudy
AT guptamk twopointversusthreepointfixationinthemanagementofzygomaticomaxillarycomplexfracturesacomparativestudy
AT mahajanmonica twopointversusthreepointfixationinthemanagementofzygomaticomaxillarycomplexfracturesacomparativestudy
AT dehankartejaswini twopointversusthreepointfixationinthemanagementofzygomaticomaxillarycomplexfracturesacomparativestudy