Backgroud: esthetics could be as important as function in many patients suffering from zygomatic complex fractures. We aimed to evaluate a modified intraoral approach for treating isolated monobloc zygomatic complex fractures with two-point fixation at the zygomaticomaxillary buttress and infraorbital rim. Method: This is a single armed (non-controlled) clinical trial carried on twelve patients who were assigned to our study (n=12) with unilateral isolated zygomatic complex fracture. Treatment was evaluated clinically and radiographically using three-dimensional computed tomography, infraorbital nerve function assessment was done through mechanical, thermal and pain thresholds detection. Evaluation was done preoperatively, two-days, one week, one-month, two-months and three-months postoperatively. Results: Study showed male predominance over females (12:0). The aged ranged from 1852- with a mean of 33. 11 out of the twelve patients had the left side affected. Road traffic accidents was the major cause. Infraorbital nerve function was completely restored within two-months postoperatively. Infraorbital nerve paresthesia completely disappeared within two-months in 11 of our patients, one case reported persistent transient infraorbital nerve paresthesia. Conclusion: the modified intraoral approach although technique sensitive, provides excellent esthetic and functional results. Allowing the use of two-point fixation through a single incision avoiding any scars or postoperative complications to the eye from using the extraoral approaches.
Yousri, N., Sadakah, A. E., Khalifa, M., & Essa, E. (2021). Evaluation of intraoral Two-point fixation in Monobloc Zygomatic Complex Fractures. Egyptian Journal of Oral and Maxillofacial Surgery, 12(3), 197-204. doi: 10.21608/omx.2021.82856.1123
MLA
Nour Yousri; Abd Elfattah Sadakah; Mahmoud Khalifa; Emad Essa. "Evaluation of intraoral Two-point fixation in Monobloc Zygomatic Complex Fractures", Egyptian Journal of Oral and Maxillofacial Surgery, 12, 3, 2021, 197-204. doi: 10.21608/omx.2021.82856.1123
HARVARD
Yousri, N., Sadakah, A. E., Khalifa, M., Essa, E. (2021). 'Evaluation of intraoral Two-point fixation in Monobloc Zygomatic Complex Fractures', Egyptian Journal of Oral and Maxillofacial Surgery, 12(3), pp. 197-204. doi: 10.21608/omx.2021.82856.1123
VANCOUVER
Yousri, N., Sadakah, A. E., Khalifa, M., Essa, E. Evaluation of intraoral Two-point fixation in Monobloc Zygomatic Complex Fractures. Egyptian Journal of Oral and Maxillofacial Surgery, 2021; 12(3): 197-204. doi: 10.21608/omx.2021.82856.1123