Journal of AdvancedMedical and Dental Sciences Research

Aim: To compare efficacy of two different techniques-infraorbital as well as fronto-zygomatic approaches based on two point- fixation principle in the treatment of Zygomaticomaxillary complex fractures. Methodology: 10 Patients were randomly enrolled into two groups -Group I and Group II. All the patients were operated under general anaesthesia. In Group-I, patients were treated by open reduction and internal fixation of Fronto Zygomatic region and infraorbital rim. In Group -II, patients were treated by open reduction and internal fixation of infraorbital rim and Zygomaticomaxillary buttress region. In both these groups, fixation was done using titanium miniplates and screws. Follow up evaluation was done at 1 week, 1 month and 3 months after the completion of the procedure. Results: Follow up after 3 months, revealed that no patient had the complain of infraorbital paresthesia. Around 4 patients still had post operative complication of scar formation and was statistically significant as well ( χ2=10.94, p=0.03). Conclusion: Fixation of infraorbital rim and zygomaticomaxillary buttress proved slightly better than fixation of infraorbital rim and fronto-zygomatic buttress because patients in the former group had less pain on mastication during immediate post-operative period.