Optimal treatment of zygomatic fractures: a single-center study results
| Autor: | Mehmet Sagir, Erdem Güven, Karaca Basaran, Ozgur Pilanci, Funda Akoz Saydam |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Eye Hemorrhage Adolescent medicine.medical_treatment Ecchymosis Single Center 03 medical and health sciences Fracture Fixation Internal Young Adult 0302 clinical medicine Hematoma Epidemiology medicine Humans Child Reduction (orthopedic surgery) Retrospective Studies Zygomatic Fractures business.industry Optimal treatment 030206 dentistry General Medicine Middle Aged medicine.disease Surgery Incision Site 030220 oncology & carcinogenesis Female medicine.symptom business Bone Plates |
| Zdroj: | Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat. 26(1) |
| ISSN: | 2147-6756 |
| Popis: | Objectives: This study aims to investigate the epidemiological and operative characteristics of patients undergoing surgery for zygomatic fractures. Patients and Methods: Between May 2008 and October 2013, a total of 121 patients (98 males, 23 females; mean age 27 years; range, 9 to 63 years) who were operated for zygomatic fractures in our clinic were retrospectively analyzed. Age and sex of the patients, symptoms, fracture and incision sites, length of hospital stay, plate type, treatment options, and complications were recorded. Results: Assault was the leading cause of trauma (39%), followed by traffic accidents (24%). The most common symptom or clinical sign was the periorbital ecchymosis/hematoma. Conservative treatment was applied in 14 patients (12%). Surgery was performed with a closed reduction in 17 patients (14%) and open reduction in 90 patients (74%). The most common fracture site was the infraorbital rim in 76 patients (62.8%). A total of 48% patients had three-site, 35% had two-site and 12% had one-site of fixations. The major material used for the orbital floor reconstruction was porous polyethylene in 43.7% patients. Conclusion: Our study results show that surgery is required in the majority of the patients with zygomatic fractures. However, further large studies are required to determine many parameters such as incision sites, plate locations, and the material to be used in orbital floor reconstruction. |
| Databáze: | OpenAIRE |
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