EVALUATING THE RESULTS OF TREATING ZYGOMATICOMAXILLARY COMPLEX FRACTURES USING CORONAL INCISION

Abstract

Background: Zygomaticomaxillary complex fracture is a complex form of facial trauma, accounting for a high proportion in facial fractures. The objective of this study was to evaluate the results of zygomaticomaxillary complex fracture surgery using the coronal incision. Subjects and Methods: Clinical and radiographic data were collected from 45 patients (average age 30.73 ± 12.64) who were diagnosed with zygomaticomaxillarycomplex fracture, went through surgery with coronal incision and internal fixation with plates and miniplates. This study assessed the overall treatment results of: anatomy, aesthetics and function at the time of discharge, 3 months, 6 months postoperatively. Results: Using 4 plates on one patient accounted for 37.8%. The duration of surgery from 90 to 120 minutes constitutes 44.4% and the post-operative time within 1 week makes up 62.2%. The overall treatment results after surgery were: at 1 week postoperatively: good: 48.9%, fair: 40%, acceptable: 8.9%, poor: 2.2%; at 3rd month after surgery: good: 75.5%, fair: 13.4%, acceptable: 8.9%, poor: 2.2%; at 6th month after surgery: good: 75.5%; fair: 17.8%, acceptable: 6.7%.Conclusions: Applying the coronal incision in the treatment of zygomaticomaxillarycomplex fracture with comminuted fracture and deformed bones helps to fully restore the function and aesthetic needs of the patient Key words: Zygomaticomaxillary complex fracture, coronal incision.