These patients are advised to have a soft diet for 6 weeks and are regularly monitored. Traditionally non-surgical management is indicated in minimally displaced/undisplaced and incomplete fractures with no functional or aesthetic compromise. The decision-making of whether to treat ZMC fractures surgically or conservatively is critical. The optimal treatment modality for Zygomaticomaxillary complex (ZMC) fractures is a subject of active discussion. The convex prominence rationalizes its propensity for fractures. It is crucial in transmitting the occlusal stress toward the skull base. Zygoma is a robust bone forming the critical anterolateral surface of the middle third of the face. Type C with severe fracture displacement validates surgical correction. Type B with a mono-bloc fracture is a crucial group that demands broader, long-term studies to extract a proper treatment protocol. The Type A group is most suited for non-surgical management. Significant inter-variable relationship between certain paired parameters was also observed. Type C, which had comminuted fracture patterns, exhibited significant defects in all the parameters. No significant improvement was noted in any of the groups for aesthetic deformity, infraorbital step deformity, and ophthalmic status. However, Type A and Type B showed significant improvement in pain reduction, mouth opening, and infraorbital nerve (ION) paresthesia. ResultsĪ six-month follow-up revealed persisting residual deformities for all three groups. The study variables were then statistically analyzed using Cochran’s Q test with an associated confidence interval of 95%. We evaluated the resolution of signs and symptoms of six standard parameters over 6 months-persistent pain, restriction in mouth opening, infraorbital nerve (ION) paresthesia, aesthetic deformity, infraorbital step deformity with associated tenderness on palpation, and ophthalmic status. The patients were classified based on the Zingg et al. One hundred and three patients with post-traumatic isolated ZMC fractures managed conservatively for various reasons were identified. With little evidence available in the literature, this study tries to clinically determine the efficiency and outcomes of non-surgical management of post-traumatic Zygomaticomaxillary complex (ZMC) fractures.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |