Home Articles List Article Information
Alexandria Dental Journal
Journal Archive
Volume Volume 50 (2025)
Volume Volume 49 (2024)
Volume Volume 48 (2023)
Volume Volume 47 (2022)
Volume Volume 46 (2021)
Issue Issue 3
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
Issue Issue 3
B (Endodontics, Prosthodontics, Fixed prosthodontics, Conservative dentistry, Dental Biomaterials)
Issue Issue 3
C (Pediatric dentistry, Dental public health, Orthodontics)
Issue Issue 2
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
Issue Issue 2
B (Endodontics, Prosthodontics, Fixed prosthodontics, Conservative dentistry, Dental Biomaterials)
Issue Issue 2
C (Pediatric dentistry, Dental public health, Orthodontics)
Issue Issue 1
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
Issue Issue 1
B (Endodontics, Prosthodontics, Fixed prosthodontics, Conservative dentistry, Dental Biomaterials)
Issue Issue 1
C (Pediatric dentistry, Dental public health, Orthodontics)
Volume Volume 45 (2020)
Volume Volume 44 (2019)
Volume Volume 43 (2018)
Volume Volume 42 (2017)
Volume Volume 41 (2016)
Volume Volume 40 (2015)
Amer, T., sharara, A., Mohamed, N., El Dibany, R., el shafei, M. (2021). ULTRASOUND GUIDED CLOSED REDUCTION VERSUS OPEN REDUCTION OF ZYGOMATIC ARCH IN ZYGOMATICOMAXILLARY FRACTURES. Alexandria Dental Journal, 46(Issue 1), 51-57. doi: 10.21608/adjalexu.2020.22402.1039
Tasneem Amer; Ahmed sharara; Nevien Mohamed; Riham El Dibany; mohamed el shafei. "ULTRASOUND GUIDED CLOSED REDUCTION VERSUS OPEN REDUCTION OF ZYGOMATIC ARCH IN ZYGOMATICOMAXILLARY FRACTURES". Alexandria Dental Journal, 46, Issue 1, 2021, 51-57. doi: 10.21608/adjalexu.2020.22402.1039
Amer, T., sharara, A., Mohamed, N., El Dibany, R., el shafei, M. (2021). 'ULTRASOUND GUIDED CLOSED REDUCTION VERSUS OPEN REDUCTION OF ZYGOMATIC ARCH IN ZYGOMATICOMAXILLARY FRACTURES', Alexandria Dental Journal, 46(Issue 1), pp. 51-57. doi: 10.21608/adjalexu.2020.22402.1039
Amer, T., sharara, A., Mohamed, N., El Dibany, R., el shafei, M. ULTRASOUND GUIDED CLOSED REDUCTION VERSUS OPEN REDUCTION OF ZYGOMATIC ARCH IN ZYGOMATICOMAXILLARY FRACTURES. Alexandria Dental Journal, 2021; 46(Issue 1): 51-57. doi: 10.21608/adjalexu.2020.22402.1039

ULTRASOUND GUIDED CLOSED REDUCTION VERSUS OPEN REDUCTION OF ZYGOMATIC ARCH IN ZYGOMATICOMAXILLARY FRACTURES

Article 8, Volume 46, Issue 1, April 2021, Page 51-57  XML PDF (1.18 MB)
Document Type: Original Article
DOI: 10.21608/adjalexu.2020.22402.1039
View on SCiNiTO View on SCiNiTO
Authors
Tasneem Amer email 1; Ahmed sharara2; Nevien Mohamed2; Riham El Dibany3; mohamed el shafei4
1oral and maxillofacial surgery department, faculty of dentistry, Alexandria university ,Alexandria,Egypt.
2Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University, Egypt
3Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University
4Assistant professor of Diagnostic and Interventional Radiology, Department of Diagnostic and Interventional Radiology Faculty of medicine, Alexandria University, Egypt.
Abstract
Introduction: trauma of the zygomaticomaxillary complex (ZMC) has profound functional as well as aesthetic implications. Treatment of ZMC fractures remains one of the most controversial issues in maxillofacial trauma with regard to the classification, diagnosis, surgical approach and treatment.Precise management of the ZMC fractures needs accurate diagnosis, accessible exposure, and precise rigid fixation
Objectives: To compare between ultrasound guided closed reduction and open reduction of zygomatic arch in cases of ZMC fracture.
Materials and methods: This study was conducted on a sample of twenty patients who had fracture repair of ZMC. Ten of them (study group) were treated via direct peri-orbital approach with the use of intra-operative ultrasound to guide zygomatic arch reduction. While the other ten patients (control group) via coronal approach with open reduction of zygomatic arch.
Postoperative patient evaluation was performed with specific attention paid towards zygomatic arch reduction, nerve function, wound healing, and postoperative ocular complications.
Results: Radiographic follow up showed no statistical significant difference between normal side and reduced side of zygomatic arch which reflect satisfactory arch reduction among both groups.
Conclusion: From the results of this study it was concluded that ultrasonography is an effective method for guiding zygomatic arch reduction with other minimal incisions in cases of ZMC fracture. On the other hand, coronal incisions have advantages of giving excellent access to ZMC fracture with direct reduction of zygomatic arch but with considerable disadvantages.
Keywords
ZMC fractures; Ultrasound guided reduction; Coronal incisions
Main Subjects
Oral and maxillofacial surgery
References
Kovacs A, Ghahremani M: Minimization of zygomatic complex fracture treatment. Int J Oral Maxillofac Surg. 2001; 30: 380.

    • Zhang Q, Dong Y, Zu-Bing L, Zhao J: Coronal incision for treating zygomatic complex fractures. J Cranio Maxillofac Surg. 2006; 34:182.

    • Chen C: Endoscopic zygomatic fracture repair. Plast Reconst Surg. 1998; 5: 282.

    • Nkenke E, Benz M, Maier T, Wiltfang J, Holbach L, Kramer M. Relative en- and exophthalmometry in zygomatic

    fractures comparing optical non-contact, non-ionizing 3D imaging to the Hertel instrument and computed

    tomography. J Cranio Maxillofacial Surg. 2003; 31:362

    • Nkenke E, Benz M, Maier T, Wiltfang J, Holbach L, Kramer M, Gerd H, Neukam F: Hertel exophthalmometry

    versus computed tomography and optical 3D imaging for the determination of the globe position in zygomatic

    fractures. Int J Oral Maxillofac Surg. 2004; 33: 125.

    • El-Anwar MW, Elsheikh E, Sweed AH, Ezzeldin N. Electromyography assessment in zygomaticomaxillary

    complex fractures. Oral and Maxillofacial Surgery 2015;19(4):375–9

    • Meslemani D, Kellman RM. Zygomaticomaxillary complex fractures. Arch Facial Plast Surg 2012;14:62–6

    • Tarabichi M. Transsinus reduction and one-point fixation of malar fractures. Arch Otolaryngol Head Neck

    Surg 1994; 120: 620-5.

    • Soejima K, Sakurai H, Nozaki M, et al. Semi-closed reduction of tripod fractures of zygoma under intraoperative

    assessment using ultrasonography. J Plast Reconstr Aesthet Surg 2009; 62: 499-505.

    10.Choi KY, Ryu DW, Yang JD, Chung HY. Feasibility of 4-point fixation using the preauricular approach in a

    zygomaticomaxillary complex fracture.J Craniofac Surg. 2013;24(2):557-62.

    Ohjimi H, Taniguchi Y, Tanahashi S, Era K, Fukushima T. Accessing the Orbital Roof via an Eyelid Incision: The

    Transpalpebral Approach. Skull base surgery. 2000;10(4):211-216.

    • El-Anwar M, Elsheikh E, Hussein A,Tantawy A, Abdelbaki Y. Transconjunctival versus subciliary approach to

    the infraorbital margin for open reduction of zygomaticomaxillary complex fractures: a randomized feasibility

    study. Oral Maxillofac Surg. 2017; 21:187–92.

    • Salgarelli AC, Bellini P, Landini B, Multinu A, Consolo U. A comparative study of different approaches in the

    treatment of orbital trauma: an experience based on 274 cases. Oral Maxillofac Surg. 2010; 14:23-7.

    • Carvalho A C, Pereira C C, Queiroz T P, Magro-Filho O. Intraoral approach to zygomatic fracture: modified

    technique for infraorbital rim fixation. J Craniofac Surg. 2012;23(2):537–538.

    15. Manson P N, Clark N, Robertson B. Comprehensive management of pan-facial fractures. J Craniomaxillofac

    Trauma. 1995;1(1):43–56.

    Raschke G F, Rieger U M, Bader R D. et al. The zygomaticomaxillary complex fracture - an anthropometric

    appraisal of surgical outcomes. J Craniomaxillofac Surg. 2013;41(4):331–337.

    • Gulicher D, Krimmel M, Reinert S: The role of intraoperative ultrasonography in zygomatic complex fracture

    repair. Int J Oral Maxillofac Surg. 2006; 35: 224.

    • Heiland M, Schmelzle R, Hebecker A, Schulze D: Intraoperative 3D imaging of the facial skeleton using the

    SIREMOBIL Iso-C3D. Dentomaxillofac Radiol. 2004; 33: 130.

    • Archer, W. H.: Fractures of the facial bones and their treatment. In: Archer, W. H. (ed.): Oral and maxillofacial

    surgery. Saunders, Philadelphia(1975) 1274.

    • Adeyemoa W, Akadirib O. A systematic review of the diagnostic role of ultrasonography in maxillofacial fractures.Int J

    Oral Maxillofac Surg.2011;40(7): 655-61.

    21.Rama K, Koteswara N, Leela G, Santosh V, Ranganath N, Vijaya U. Role of Ultrasonography in Oral and

    Maxillofacial Surgery: A Review of Literature. J. Oral Maxillofac. Surg.2015;14(2):162-70.
    22.Akizuki H, Yoshida H, Michi K.Ultrasonographic evaluation during reduction of zygomatic arch fractures.J

    Craniomaxillofac Surg. 1990;18(6):263-6.

    Ma F, Tang S. Zygomatic arch reduction and malarplasty with multiple osteotomies: its geometric considerations.

    Aesthetic Plast Surg. 2014;38(6):1143-50.

    • Kirkpatrick LA, Feeney BC. A simple guide to IBM SPSS: for version 20.0. 12th ed. USA. Wadsworth cengage

    learning; 2012.

    • Johnson C. Measuring Pain. Visual Analog Scale Versus Numeric Pain Scale: What is the Difference? J Chiropr

    Med. 2005;4(1):43-4.

    26.van den Bergh B, Karagozoglu KH, Heymans MW, Forouzanfar T. Aetiology and incidence of maxillofacial

    trauma in Amsterdam: a retrospective analysis of 579 patients. J Craniomaxillofac Surg. 2012;40(6):e165-9.
    27. Salentijn EG, van den Bergh B, Forouzanfar T. A ten-year analysis of midfacial fractures. J Craniomaxillofac

    Surg. 2013;41(7):630-6.

    28. Sakr K, Farag IA, Zeitoun IM. Review of 509 mandibular fractures treated at the University Hospital, Alexandria, Egypt. Br J Oral Maxillofac Surg. 2006;44(2):107-11.

    29. Melek LN, Sharara AA. Retrospective study of maxillofacial trauma in Alexandria University: Analysis of 177 cases. Tanta Dent J. 2016;13(1):28.

    30.Boffano P, Kommers SC, Karagozoglu KH, Forouzanfar T. Aetiology of maxillofacial fractures: a review of published studies during the last 30 years. Br J Oral Maxillofac Surg. 2014;52(10):901-6.

    31.Vriens JP, Moos KF. Morbidity of the infraorbital nerve following orbitozygomatic complex fractures. J Craniomaxillofac Surg. 1995;23(6):363-8.

    Benoliel R, Birenboim R, Regev E, Eliav E. Neurosensory changes in the infraorbital nerve following zygomatic fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(6):657-65.

    • Kumar VS, Rao NK, Mohan KR, Krishna L, Prasad BS, Ranganadh N, et al. Minimizing complications associated with coronal approach by application of various modifications in surgical technique for treating facial trauma: A prospective study. Natl J Maxillofac Surg. 2016;7(1):21-8.

    • Lew DH, Park BY, Lee HB, Lew JD. Simple fixation method for unstable zygomatic arch fracture using double Kirschner's wires. Plast Reconstr Surg. 1998;101(5):1351-4.

    • McCann PJ, Brocklebank LM, Ayoub AF. Assessment of zygomatico-orbital complex fractures using ultrasonography. Br J Oral Maxillofac Surg. 2000;38(5):5259.

    • Kurita M, Okazaki M, Ozaki M, Tanaka Y, Tsuji N, Takushima A, et al. Patient satisfaction after open reduction and internal fixation of zygomatic bone fractures. J Craniofac Surg. 2010;21(1):45-9.

    37. Cheon JS, Seo BN, Yang JY, Son KM. Clinical Follow-up on Sagittal Fracture at the Temporal Root of the Zygomatic Arch: Does It Need Open Reduction? Arch Plast Surg. 2013;40(5):546-52.

    Statistics
    Article View: 511
    PDF Download: 700