Management of zygomatico-maxillary complex fractures with three point fixation – a clinical case presentation

Author: 
Dr Mayur J Gawande, Dr Chandrashekhar Bande, Dr. Rajshree Jadhav, Dr Siddhesh Latke and Dr Madhulika Bagde

Background: The zygoma plays an important role in the facial contour for both cosmetic and functional reasons; therefore zygomatic bone injuries should be properly diagnosed and adequately treated. Comparison of various surgical approaches and their complications can only be done objectively using outcome measurements which require protocol for management and long-term follow up. The objectives of this articleto check the efficacy of zygomatic bone after treatment with Open reduction internal fixation (ORIF) using 3 point fixation.
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 3 point fixation technique.
Conclusion:We found that postoperative facial & neurological complications are minimum in three point fixation technique.Based on this study open reduction and internal fixation using 3 point fixation by miniplates is sufficient and the best available method for the treatmentZygomatico-Maxillary Complex Fractures (ZMC) fractures.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2020.21025.4119
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