Abstract
Aim: To analyse the epidemiology, aetiology, and surgical management of zygomatic complex (ZMC) fractures in our major trauma centre, and to compare the number and location of fixation points and surgical access in our patient cohort with the literature.
Highlights
Zygomatic complex (ZMC) fractures are relatively common
One ZMC fracture case was excluded from the points of fixation and surgical incision analysis
This patient was a polytrauma patient who had surgery delayed by 49 days due to their concurrent injuries, and it was not possible to reduce the ZMC fracture intra-operatively
Summary
Zygomatic complex (ZMC) fractures are relatively common. A literature search showed ZMC fractures to account for approximately 15%-23.5% of maxillofacial fractures[1,2,3]. The incidence of ZMC fractures varies with geographical location, socioeconomic trends, and incidence of road traffic collisions (RTCs), alcohol abuse and drug abuse[4]. A number of studies had shown ZMC fractures to be the second most common facial fracture, after nasal bone or mandible fractures[3,4,5,6]. Common causes of ZMC fractures include interpersonal violence (15%-64.5%), RTCs (13.9%-49%), as well as falls, occupational accidents, and sport-related injuries[3,7,8]. ZMC fractures are more common in men than women, and most commonly occur in the third decade of life[2]
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