Objective： To evaluate the effectiveness of the rigid internal fixation for comminuted and redisplaced zygomatic arch fractures by modified preauriculartemporal approach with the resorbable bone fixation. Methods： ...Objective： To evaluate the effectiveness of the rigid internal fixation for comminuted and redisplaced zygomatic arch fractures by modified preauriculartemporal approach with the resorbable bone fixation. Methods： Totally twenty patients aged from 14 to 68 years and admitted to our hospital between September 2006 and June 2011 were reviewed, of whom seventeen had a unilateral comminuted zygomatic arch fracture and three re displaced arch fracture after failed closed reduction. The fracture segments were aligned to restore the preinjury form of the arch by rigid fixation with resorbable plates and screws through a modified preauriculartemporal incision. Results： The fractures were well reduced, preauricu lartemporal scar and lateral facial contour were aestheti cally satisfying, and no case had limited mouth opening as well as facial palsy. The resorbable plates were not palpated one year after the operation. Conclusion： The rigid internal fixation through the preauriculartemporal approach with the resorbable bone is an effective method for the comminuted and redisplaced zyomatic arch fractures.展开更多
Background: Zygomatic fracture is one of the most prevalent one among facial fractures caused by vehicle accident, motorcycle accident, fighting, fall and sport injuries. Materials & Methods: This study was a retr...Background: Zygomatic fracture is one of the most prevalent one among facial fractures caused by vehicle accident, motorcycle accident, fighting, fall and sport injuries. Materials & Methods: This study was a retrospective study of our patients during past 6 years. Results: We had 1277 facial fractures, of whom 9 patients had blindness. We had 193 patients with Zygomatic fracture. 98 patients had pure zygomatic fracture and other had complicated fractures. Frequency of blindness due to zygomatic fracture in a period of six years was 4.7% in all and in pure zygomatic fractures was 2.04%. Blindness was most prevalent in age group 20 - 29 years old (55.6%). The most prevalent cause of zygomatic fracture which causes blindness, was motor vehicle accident (77.8%). Blindness was more common in males (77.8%) than females (22.2%). Discussion and Conclusions: One of the most disastrous complication of zygomatic fracture is transection of optic nerve. Very careful examination of fractured bones careful examination of optic nerve and visual acuity and urgent operation and decompression of optic nerve must be performed. About 4% - 5% will have blindness purely due to fracture.展开更多
文摘Objective： To evaluate the effectiveness of the rigid internal fixation for comminuted and redisplaced zygomatic arch fractures by modified preauriculartemporal approach with the resorbable bone fixation. Methods： Totally twenty patients aged from 14 to 68 years and admitted to our hospital between September 2006 and June 2011 were reviewed, of whom seventeen had a unilateral comminuted zygomatic arch fracture and three re displaced arch fracture after failed closed reduction. The fracture segments were aligned to restore the preinjury form of the arch by rigid fixation with resorbable plates and screws through a modified preauriculartemporal incision. Results： The fractures were well reduced, preauricu lartemporal scar and lateral facial contour were aestheti cally satisfying, and no case had limited mouth opening as well as facial palsy. The resorbable plates were not palpated one year after the operation. Conclusion： The rigid internal fixation through the preauriculartemporal approach with the resorbable bone is an effective method for the comminuted and redisplaced zyomatic arch fractures.
文摘Background: Zygomatic fracture is one of the most prevalent one among facial fractures caused by vehicle accident, motorcycle accident, fighting, fall and sport injuries. Materials & Methods: This study was a retrospective study of our patients during past 6 years. Results: We had 1277 facial fractures, of whom 9 patients had blindness. We had 193 patients with Zygomatic fracture. 98 patients had pure zygomatic fracture and other had complicated fractures. Frequency of blindness due to zygomatic fracture in a period of six years was 4.7% in all and in pure zygomatic fractures was 2.04%. Blindness was most prevalent in age group 20 - 29 years old (55.6%). The most prevalent cause of zygomatic fracture which causes blindness, was motor vehicle accident (77.8%). Blindness was more common in males (77.8%) than females (22.2%). Discussion and Conclusions: One of the most disastrous complication of zygomatic fracture is transection of optic nerve. Very careful examination of fractured bones careful examination of optic nerve and visual acuity and urgent operation and decompression of optic nerve must be performed. About 4% - 5% will have blindness purely due to fracture.
