Fractures of the Zygomatic Complex: A review of the literature

Authors

DOI:

https://doi.org/10.33448/rsd-v11i6.29134

Keywords:

Bone fractures; Zygomatic process; Diagnosis; Surgical approaches.

Abstract

Fractures of the Zygomatic-Maxillary Complex (CZM) are considered one of the most common fractures of the facial region, due to their projection from the bones that make up this region. They represent about 25% of all facial fractures and are usually the result of industrial accidents, sports injuries and interpersonal fights. This study aims to review the literature on fractures of the zygomatic complex, emphasizing its diagnosis, surgical protocol and possible complications after operative treatment. For the construction of this article, a bibliographic survey was carried out in the SciVerse Scopus, Scientific Electronic Library Online (Scielo), Virtual Health Library (BVS) and U.S. National Library of Medicine (PUBMED). Articles from the years 2000 to 2022 were selected. From the literary search, 22 articles were included in the present study. The management of zygomatic fractures remains a challenge and controversies persist. New technologies and approaches may ultimately allow for more accurate correction of fractures when using less invasive or less visible access. The surgeon must carefully evaluate the different tools and strategies available to provide patients with surgical options that provide the most stable and accurate reduction while also minimizing iatrogenic morbidity.

References

Andreasen, J. O., Jensen, S. S., Schwartz, O., & Hillerup, Y. (2006). A systematic review of prophylactic antibiotics in the surgical treatment of maxillofacial fractures. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 64(11), 1664–1668. https://doi.org/10.1016/j.joms.2006.02.032

Crighton, L. A., & Koppel, D. A. (2007). The value of postoperative radiographs in the management of zygomatic fractures: prospective study. The British Journal of Oral & Maxillofacial Surgery, 45(1), 51–53. https://doi.org/10.1016/j.bjoms.2006.01.003

Dubois, L., Steenen, S. A., Gooris, P. J. J., Mourits, M. P., & Becking, A. G. (2015). Controversies in orbital reconstruction--II. Timing of post-traumatic orbital reconstruction: a systematic review. International Journal of Oral and Maxillofacial Surgery, 44(4), 433–440. https://doi.org/10.1016/j.ijom.2014.12.003

Dziadek, H., & Cieślik, T. (2005). [Treatment of zygomatico-orbital and zygomatico-maxillo-orbital fractures by open reduction and rigid internal fixation]. Wiadomosci lekarskie (Warsaw, Poland : 1960), 58(5–6), 270–274.

Ellis, E. 3rd, el-Attar, A., & Moos, K. F. (1985). An analysis of 2,067 cases of zygomatico-orbital fracture. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 43(6), 417–428. https://doi.org/10.1016/s0278-2391(85)80049-5

Ellstrom, C. L., & Evans, G. R. D. (2013). Evidence-based medicine: zygoma fractures. Plastic and Reconstructive Surgery, 132(6), 1649–1657. https://doi.org/10.1097/PRS.0b013e3182a80819

Folkestad, L., & Granström, G. (2003). A prospective study of orbital fracture sequelae after change of surgical routines. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 61(9), 1038–1044. https://doi.org/10.1016/s0278-2391(03)00316-1

Isya Wahdini, S., Dachlan, I., Seswandhana, R., Hutagalung, M. R., Putri, I. L., & Afandy, D. (2019). Neglected orbitozygomaticomaxillary fractures with complications: A case report. International Journal of Surgery Case Reports, 62, 35–39. https://doi.org/10.1016/j.ijscr.2019.07.055

Johnson, N. R., Singh, N. R., Oztel, M., Vangaveti, V. N., Rahmel, B. B., & Ramalingam, L. (2018). Ophthalmological injuries associated with fractures of the orbitozygomaticomaxillary complex. The British Journal of Oral & Maxillofacial Surgery, 56(3), 221–226. https://doi.org/10.1016/j.bjoms.2018.02.009

Mavili, M. E., & Tunçbilek, G. (2005). Treatment of noncomminuted zygoma fractures with percutaneous reduction and rigid external devices. The Journal of Craniofacial Surgery, 16(5), 829–833. https://doi.org/10.1097/01.scs.0000180015.13975.8e

Nitsch, A., Bruns, A., Gruber, R. M., Wiese, K. G., & Merten, H. A. (2006). [Evaluation of the postoperative clinical results of repositioning isolated zygomatic fractures]. Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d’odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia, 116(1), 43–53.

Pedemonte, C., & Basili, A. (2005). Predictive factors in infraorbital sensitivity disturbances following zygomaticomaxillary fractures. International Journal of Oral and Maxillofacial Surgery, 34(5), 503–506. https://doi.org/10.1016/j.ijom.2004.10.026

Pereira, A., Shitsuka, D., Parreira, F., & Shitsuka, R. (2018). Método Qualitativo, Quantitativo ou Quali-Quanti. In Metodologia da Pesquisa Científica. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1. Acesso em: 28 março 2020.

Rao, E., Naveen, S., Rao, R. C., Kollabathula, K., Srirambhatla, M., & Gandham, S. (2019). Principle of Lag-Screw Fixation in Mandibular Trauma. Journal of International Society of Preventive & Community Dentistry, 9(3), 282–289. https://doi.org/10.4103/jispcd.JISPCD_64_19

Soparkar, C. N. S., & Patrinely, J. R. (2007). The eye examination in facial trauma for the plastic surgeon. Plastic and Reconstructive Surgery, 120(7 Suppl 2), 49S-56S. https://doi.org/10.1097/01.prs.0000260733.61389.0b

Strong, E. B., & Gary, C. (2017). Management of Zygomaticomaxillary Complex Fractures. Facial Plastic Surgery Clinics of North America, 25(4), 547–562. https://doi.org/https://doi.org/10.1016/j.fsc.2017.06.006

Tadj, A., & Kimble, F. W. (2003). Fractured zygomas. ANZ Journal of Surgery, 73(1–2), 49–54. https://doi.org/10.1046/j.1445-2197.2003.02595.x

Wittwer, G., Adeyemo, W. L., Yerit, K., Voracek, M., Turhani, D., Watzinger, F., & Enislidis, G. (2006). Complications after zygoma fracture fixation: is there a difference between biodegradable materials and how do they compare with titanium osteosynthesis? Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 101(4), 419–425. https://doi.org/10.1016/j.tripleo.2005.07.026

Yokoo, S., Tahara, S., Sakurai, A., Hashikawa, K., Terashi, H., Furudoi, S., Umeda, M., & Komori, T. (2003). Replantation of an avulsed zygomatic bone as a freeze-preserved autologous graft: a case report. Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 31(2), 115–119. https://doi.org/10.1016/s1010-5182(02)00183-x

Downloads

Published

26/04/2022

How to Cite

RODRIGUES , M. C. .; CARNEIRO , G. K. M. .; FRANCO, A. G. .; ALBUQUERQUE, I. F. de S. A.; FREITAS, D. da P. .; MACHADO, J. D. de F.; SILVA, M. N. S. .; CARNEIRO , K. H. da S.; MOREIRA , A. M. .; RIBEIRO, A. P. da C. Fractures of the Zygomatic Complex: A review of the literature. Research, Society and Development, [S. l.], v. 11, n. 6, p. e24511629134, 2022. DOI: 10.33448/rsd-v11i6.29134. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/29134. Acesso em: 19 apr. 2024.

Issue

Vol. 11 No. 6

Section

Health Sciences

License

Copyright (c) 2022 Marcelo Costa Rodrigues ; Grace Kelly Martins Carneiro ; Amanda Gonçalves Franco; Ilana Francisca de Sousa Araújo Albuquerque; Danielle da Paixão Freitas; Josiane Dias de Freitas Machado; Maghali Nereida Sousa Silva; Kaio Henrique da Silva Carneiro ; Aline Miranda Moreira ; Amanda Pereira da Cruz Ribeiro

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.