Efficacy of multidetector computed tomography in Quantitative and Qualitative Analysis Of Facial Symmetry After Zygomaticomaxillary Complex Fractures Management

Abstract

Aim : The aim of present study was quantitative and qualitative analysis of facial symmetry after ZMC fractures management using multidetector computed tomography . Patients and methods: A descriptive study of consecutive 40 adult patients with recent isolated unilateral ZMC fractures who were otherwise healthy was performed from 2019 through 2020. Patient demographics ,and both clinical ,and CT radiographical assessments were done preoperatively and postoperatively after 2 months to evaluate postoperative complications ,patient satisfaction score ,and quality and quantity of facial symmetry. Results: A total 16 patients complained postoperative complications. Postoperative facial asymmetry was observed in 22.5% of patients . The patient satisfaction score gradually increased at all intervals of study. As for the pre- and post-operative radiographic analysis; a total of 28 fractures were considered acceptably reduced, while 12 fractures was considered sub-optimally reduced. There was highly significant difference between preoperative and postoperative values of facial asymmetry indexes (p < 0.01) Conclusion: Our results demonstrated that multidetector computed tomography can be used as accurate imaging modality for quantitative and qualitative analysis of facial symmetry after ZMC fractures management leading to improve postoperative esthetic outcome .