The zygoma occupies an anatomically prominent position in the face. Fracture of the zygoma is a common facial injury and can be associated with significant functional deficit and cosmetic disfigurement. From a database of patients presenting to a tertiary trauma centre during an 11-year period, 941 individuals with zygomatic fractures were identified. Variables examined included demographic characteristics, type of fracture, mode of injury and treatment delivered. The study found a male-to-female ratio of 8:2. The age of patients at presentation ranged between 1 and 93 years, with a mean age of 36 years. Interpersonal violence was the most common cause of injury. Alcohol was involved in 47% of cases. Of the 52% of patients who had surgery, 61% required internal fixation. Some 62% of patients were hospitalised. In conclusion, most zygomatic fractures presenting to the Unit occurred in males. Interpersonal violence was the most common aetiological factor, with alcohol an important contributor. Hospitalisation and surgery were required for a large proportion of the fractures.
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Life (Basel)
December 2024
School of Dentistry, São Paulo State University, Araçatuba 16015-050, Brazil.
Low-level laser therapy (LLLT) is known for its biostimulant properties, which can reduce inflammation and promote tissue regeneration. The present study is randomized, blinded, and placebo-controlled and aims to investigate the role of LLLT in the postoperative recovery of facial fractures. Patients with fractures of the zygomatic bone are selected and divided into two groups: low-level laser and red placebo light.
View Article and Find Full Text PDFJ Stomatol Oral Maxillofac Surg
January 2025
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, PR China; National Engineering Laboratory for Digital and Material Technology of Stomatology, PR China; Beijing Key Laboratory of Digital Stomatology, PR China; National Clinical Research Center for Oral Diseases, Beijing, PR China. Electronic address:
Objective: To establish an automatic reduction method for unilateral zygomatic fractures based on Iterative Closes Point (ICP) algorithm.
Material And Methods: 60 patients with unilateral type B zygomatic fractures were included. After acquiring CT images, zygomatic fragments were segmented using self-developed software MICSys.
J Craniomaxillofac Surg
December 2024
Department of Craniomaxillofacial Surgery, University Hospital Schleswig-Holstein Campus Kiel, 24105, Kiel, Germany. Electronic address:
The state-of-the-art approach to open reduction and fixation (ORIF) of zygoma fracture fragments is based on manual skills. Achieving high accuracy can be challenging. Our feasibility study on deceased body donors with artificial zygomatic fractures investigated whether virtual repositioning of the fractures and the use of customised 3D-printed titanium osteosynthesis plates was similar in accuracy to the conventional manual procedure, and whether the method was applicable in a clinical setting.
View Article and Find Full Text PDFJ Oral Maxillofac Surg
December 2024
Professor, Department of Oral and Maxillofacial Surgery, College of Dentistry, Qassim University, Saudi Arabia; Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry for Girls, AL-Azhar University, Cairo, Egypt. Electronic address:
Background: Many researchers have proposed incorporating orbital volume (OV) discrepancies between the affected and unaffected orbits into routine diagnostic processes as an indicator for early surgical repair of zygomatic complex fractures (ZMCFxs) to avoid postoperative ocular complications.
Purpose: The study aimed to determine the correlation between the preoperative OV discrepancy and postoperative globe position.
Study Design, Setting, Sample: A retrospective cohort study was performed on patients with unilateral ZMCFxs associated with orbital floor fractures, treated at Al-Zahraa Hospital, Al-Azhar University, from January 2020 to July 2023.
J Stomatol Oral Maxillofac Surg
December 2024
Face Ahead® Surgicenter, Belgium and Ziekenhuis aan de Stroom, Campus GZA, B-2018, Antwerp, Belgium. Electronic address:
Objective: This expert opinion presents provisional guidelines for addressing complications associated with Additively Manufactured Subperiosteal Jaw Implants (AMSJI®) in patients with severe maxillary atrophy. AMSJI®'s custom design, supported by finite element analysis (FEA), allows precise placement that avoids critical anatomical structures and minimizes complications relative to alternative solutions.
Materials And Methods: Data were gathered through firsthand experiences, direct communications, and insights from international workgroup meetings.
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