Surgical Management of Zygomatico-Maxillary Complex Fractures with Two Point Fixation- A Clinical Case Presentation & Review of Literature

Abstract

&Background: Zygomatico-maxillary complex fractures are the most common mid face among all craniofacial fractures. Various surgical approaches and their complications can be done to check the outcome measurement for displaced type of Zygomatico-Maxillary Complex (ZMC) fractures & long term follow up. &Objectives: This case presentation are to check the treatment outcome of zygomatic fractures after treatment with Open Reduction Internal Fixation (ORIF) using 2 point fixation technique. &Case Report: Patient reported to the Department of Oral & Maxillofacial Surgery at Swargiya Dadasaheb Kalmegh Smruti Dental College & Hospital, Nagpur with chief complaints of pain & swelling over right side of face with Periorbital edema & Subconjuctival hemorrhage. On investigation it was diagnosed as Unilateral Displaced ZMC Fractured which was treated with Open Reduction Internal Fixation (ORIF) using two-point fixation technique. &Conclusion: We found that postoperative facial & neurological complications are minimum in two point fixation technique. Open reduction and internal fixation using two-point fixation by miniplates is sufficient for reduction of fracture & postoperative stability at the fracture site and minimize the chance of postoperative complications.