Is there still a role for traditional methods in the management of fractures of the zygomatic complex?

Hdl Handle:
http://hdl.handle.net/10147/209172
Title:
Is there still a role for traditional methods in the management of fractures of the zygomatic complex?
Authors:
O'Sullivan, S T; Panchal, J; O'Donoghue, J M; Beausang, E S; O'Shaughnessy, M; O'Connor, T P
Affiliation:
Department of Plastic and Reconstructive Surgery, Cork University Hospital,, Ireland.
Citation:
Injury. 1998 Jul;29(6):413-5.
Journal:
Injury
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209172
PubMed ID:
9813694
Abstract:
With the introduction of low-profile mini-plating systems, a trend has developed towards open reduction and rigid internal fixation (ORIF) of fractures of the cranio-facial skeleton. The current policy for management of zygomatic fractures in our unit is to attempt primary reduction by traditional methods, and proceed to ORIF in the event of unsatisfactory fracture stability or alignment. Over a one-year period, 109 patients underwent surgical correction of fractures of the zygomatic complex. Standard Gilles' elevation was performed in 71 cases, percutaneous elevation in three cases, and ORIF was performed in 35 cases. Mean follow-up was 190 days. One case of persistent infraorbital step and three cases of residual malar flattening were documented in patients who underwent Gilles or percutaneous elevation. Morbidity associated with ORIF was minimal. We conclude that while ORIF of zygomatic fractures may offer better results than traditional methods in the management of complex fractures, traditional methods still have a role to play in less complex fractures.
Language:
eng
MeSH:
Accidental Falls; Accidents, Traffic; Adolescent; Adult; Athletic Injuries/surgery; Child; Female; Follow-Up Studies; Fracture Fixation/*methods; Humans; Male; *Medical Audit; Middle Aged; Retrospective Studies; Treatment Outcome; Zygoma/*injuries/surgery; Zygomatic Fractures/etiology/*surgery
ISSN:
0020-1383 (Print); 0020-1383 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Sullivan, S Ten_GB
dc.contributor.authorPanchal, Jen_GB
dc.contributor.authorO'Donoghue, J Men_GB
dc.contributor.authorBeausang, E Sen_GB
dc.contributor.authorO'Shaughnessy, Men_GB
dc.contributor.authorO'Connor, T Pen_GB
dc.date.accessioned2012-02-03T15:14:10Z-
dc.date.available2012-02-03T15:14:10Z-
dc.date.issued2012-02-03T15:14:10Z-
dc.identifier.citationInjury. 1998 Jul;29(6):413-5.en_GB
dc.identifier.issn0020-1383 (Print)en_GB
dc.identifier.issn0020-1383 (Linking)en_GB
dc.identifier.pmid9813694en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209172-
dc.description.abstractWith the introduction of low-profile mini-plating systems, a trend has developed towards open reduction and rigid internal fixation (ORIF) of fractures of the cranio-facial skeleton. The current policy for management of zygomatic fractures in our unit is to attempt primary reduction by traditional methods, and proceed to ORIF in the event of unsatisfactory fracture stability or alignment. Over a one-year period, 109 patients underwent surgical correction of fractures of the zygomatic complex. Standard Gilles' elevation was performed in 71 cases, percutaneous elevation in three cases, and ORIF was performed in 35 cases. Mean follow-up was 190 days. One case of persistent infraorbital step and three cases of residual malar flattening were documented in patients who underwent Gilles or percutaneous elevation. Morbidity associated with ORIF was minimal. We conclude that while ORIF of zygomatic fractures may offer better results than traditional methods in the management of complex fractures, traditional methods still have a role to play in less complex fractures.en_GB
dc.language.isoengen_GB
dc.subject.meshAccidental Fallsen_GB
dc.subject.meshAccidents, Trafficen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAthletic Injuries/surgeryen_GB
dc.subject.meshChilden_GB
dc.subject.meshFemaleen_GB
dc.subject.meshFollow-Up Studiesen_GB
dc.subject.meshFracture Fixation/*methodsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.mesh*Medical Auditen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.subject.meshZygoma/*injuries/surgeryen_GB
dc.subject.meshZygomatic Fractures/etiology/*surgeryen_GB
dc.titleIs there still a role for traditional methods in the management of fractures of the zygomatic complex?en_GB
dc.contributor.departmentDepartment of Plastic and Reconstructive Surgery, Cork University Hospital,, Ireland.en_GB
dc.identifier.journalInjuryen_GB
dc.description.provinceMunster-

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