Management of Zygomaticomaxillary Complex Fractures

Facial Plast Surg Clin North Am. 2017 Nov;25(4):547-562. doi: 10.1016/j.fsc.2017.06.006.

Abstract

Zygomaticomaxillary fractures account for approximately 25% of all facial fractures. They can be grouped into high-velocity and low-velocity injuries. A complete head and neck examination is critical for accurate clinical diagnosis. A thin-cut axial CT scan with sagittal, coronal, and 3-D reconstruction is important for accurate diagnosis and treatment planning. A thorough understanding of bony tetrapod anatomy and fracture mechanics is critical to treatment planning. Treatment options include closed and open reduction with internal fixation. Computer-aided applications can reduce the need for open reduction and improve the accuracy of both closed and open repairs.

Keywords: Fracture; Intra-operative imaging; Maxillofacial trauma; Navigation; Pre-surgical planning; Zygoma; Zygomaticomaxillary.

Publication types

  • Review

MeSH terms

  • Closed Fracture Reduction
  • Diagnostic Imaging / methods
  • Humans
  • Maxillary Fractures / diagnostic imaging
  • Maxillary Fractures / surgery*
  • Open Fracture Reduction
  • Patient Care Planning
  • Tomography, X-Ray Computed
  • Zygomatic Fractures / diagnostic imaging
  • Zygomatic Fractures / surgery*