Localization of Bone Plates in the Treatment of Zygomaticomaxillary Complex Fractures

Abstract

Aim of the study: Treatment of zygomaticomaxillary complex fractures with osteosynthesis is considered a standard method, however, there still exists a debate over the number and location of osteosynthesis plates used in the treatment among the professional circles. In this work, the authors evaluate the location of bone miniplates in the course of treatment of zygomaticomaxillary complex fractures, the conclusions are compared with the available literature. Material and methods: A total of 45 patients with isolated zygomaticomaxillary complex fractures treated with osteosynthesis were enrolled in the 5-year study; the total number of osteosyntheses was 81, both from intraoral approach to the zygomaticoalveolar region and extraoral approach to the lower and lateral orbital rim. Evaluation was based on postoperative CT scans used to compare the volume of the operated and the healthy orbit. Results: The lower orbital rim was selected as the place of first choice for placement of bone miniplates in 38 out of 81 cases, and the lateral orbital rim was used in 31 cases, which does not correspond with the available literature data. Conclusion: The extraoral approach to treating zygomaticomaxillary complex fractures is fully clinically acceptable, representing a cosmetically and functionally full-fledged treatment.

Keywords

• zygomaticomaxillary complex fractures
• osteosynthesis
• location
• bone plates