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Volume 7 Issue 4 (April, 2019)

Original Articles

A Clinical Assessment of Zygomatico- complex facial fracture occurring at K. R. Hospital - Mysore- A 2 Year Retrospective Study
S. Sandeep Tejaswi, T.S. Subash

Introduction: Facial trauma is the most common trauma all over the world and more than 30% trauma cases suffer from fractured Maxillofacial skeleton. Moreover the neurological component associated with it makes it even more complex to manage2, Zygoma occupies a prominent position on the face and so zygomatic complex fractures are second most common fracture after nasal bone fractures. Aim: The aim of the study was to investigate Epidemological data age, gender, fracture site, type, etiology, mode of injury, characteristics of zygomatico complex facial fractures and treatment given. Materials and Methods: A retrospective clinical study was conducted on patients reporting to Department of Dentistry K.R. Hospital data was retrieved from MLC Record Books between January 2015- January 2017. The data collected was analyzed for age, gender, etiology, fracture site, mode of injury characteristics of fracture and treatment provided. . A total of 300 patients presented with Zygomatico orbital complex and zygomatic arch fractures. Patients with isolated orbital fractures were excluded. The patients ranged in the age from 0 to 60 years. Epidemological data including age, gender, etiology, site and mode of injury and details of treatment were collected and tabulated. Results: A total of 300 patients(222 males and 78 females, male to female ratio 3:1) were evaluated and treated for zygomatico- complex fractures at Department of Dentistry .K.R. Hospital Mysore -01 between January 2015-January 2017. Their ages ranged from 0 to 60 years evaluated based of Knight and North 1961 classification. Type II fractures was most common type of ZMC fracture accounted for 30% of all cases. Assaults 70%, RTA 50%, Sports 20%, alcohol intake -60% were noted. More than half of patients experience injury due to assault , alcohol intake was maximum, RTA and sports injury, the data was analyzed for soft tissue injuries also occurring concomitantly along with ZMC fractures. Conclusion: As per the above study Males have higher incidences of ZMC  fractures due to assault  and work related  injuries and alcoholism during evening and night times in Mysore and most common fractures are Type II fractures best managed by Gillie’s temporal approach, however individual techniques has to be tailored for ZMC fractures for each patient.   Among the factors tabulated maximum amount of ZMC fractures are seen in male population due to assault in mid adult age groups 31-40 years of age and Type II ZMC accounted maximum which abrasions as soft tissue injury in dusk hours and least being sports related injury.
Key words:-Zygomatico maxillary complex, facial trauma, tetrapod, Gillie’s temporal, Subciliary.

Received: 8 February, 2019                             Revised: 27 March, 2019                               Accepted: 28 March, 2019

Corresponding Author: Dr. T.S. Subash,M.D.S, Conservative and Endodontics, MSc, Forensic Odontology, Head of The Department, Department of Dentistry, K.R. Hospital, Mysore -01, Karnataka,India

This article may be cited as: Tejaswi SS, Subash TS. A Clinical Assessment of Zygomatico- complex facial fracture occurring at K. R. Hospital – Mysore- A 2 Year Retrospective Study. J Adv Med Dent Scie Res 2019;7(4): 66-69.

 
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