How do you manage a zygomatic fracture?
Most zygomatic complex fractures can be treated solely by an intraoral approach and rigid fixation at the zygomaticomaxillary buttress. Further exposure of the zygomaticofrontal junction or inferior orbital rim is necessary for severely displaced fractures, which require additional fixation.
What is Gillies temporal approach?
Temporal (Gillies) approach – Skin incision The Gillies technique describes a temporal incision (2 cm in length), made 2.5 cm superior and anterior to the helix, within the hairline. A temporal incision is made. Care is taken to avoid the superficial temporal artery.
How is a fractured cheekbone treated?
Cheekbone fractures usually heal without infection but it may be necessary to give you antibiotics, particularly if a “graft” has been used. Initially it may be necessary to give you antibiotics through a vein in your arm whilst you are in hospital.
What is tympanic plate?
The tympanic plate is a small part of the temporal bone that separates the mandibular condyle from the external auditory canal. Fracture of this small plate is rare and usually associated with other bony fractures, mainly temporal and mandibular bone.
What is ZMC fracture?
The term ZMC fracture describes a spectrum of injuries that includes nondisplaced fractures, fractures displaced at an isolated buttress, and severely comminuted fractures with bone loss. Information about the degree and severity of the overall injury can be extrapolated from the location of the fractures.
How do you fix a broken ZMC?
The most common indication for surgery in ZMC fractures is displacement and rotation, and most displaced ZMC fractures should be treated surgically. If reduction is not performed properly, facial asymmetry will be prominent, as the result of lowering the malar prominent point [2].
What is the management of orbitozygomatic fractures?
Management of orbitozygomatic fractures forms part of the scope of practice of many oral and maxillofacial surgeons. As aspects of management vary among surgeons who treat such injuries, this confidential study was undertaken to examine some of the protocols of Australian and New Zealand oral and maxillofacial surgeons.
Is the orbit a part of the zygomatic complex?
The orbit is an integral part of the zygomatic complex. The vast isolated zygomatic arch fracture (Figure 4). Left sided subconjunctival haematoma and mild periorbital haematoma that might be indicators for orbitozygomatic complex or orbital wall fracture.
When to have surgery for an orbital fracture?
Isolated Orbital Fractures Surgery is indicated if: • Enophthalmos greater than 2mm • Double vision on primary or inferior gaze • Entrapment of extraocular muscles • Fracture greater than 50% of the orbital floor 15. Orbitozygomatic 16.
Which is a haematoma that can indicate an orbital fracture?
The vast isolated zygomatic arch fracture (Figure 4). Left sided subconjunctival haematoma and mild periorbital haematoma that might be indicators for orbitozygomatic complex or orbital wall fracture. These haematomas always require further radiographic examination as fractures need to be ruled out