Abstract

Dr. Saurabh Jolly, *Dr. Fahad Ahmad, Dr. Palvi Gupta, Dr. Deepinder Singh and Dr. SPS Sooch

ABSTRACT

Background: Zygomatico-maxillary complex (ZMC) fracture presents challenging diagnostic as well as reconstructive problems for Oral & Maxillofacial surgeon. Various treatment modalities are proposed for the accurate reduction and fixation of the Zygomaticomaxillary complex fracture. These treatment options are aimed at accurate fixation of the fractured Zygoma with subsequently less post-operative consequences. Aim of the study: The purpose of this study is to compare two-point and three-point method of internal fixation in isolated Zygomatic fracture in terms of stability, functional, esthetic outcome and radiographical evaluation of the treated Zygoma. Materials and Method: Twenty adult patients with isolated Zygomatic bone fracture were included in the study. They were randomly assigned to the two groups for internal fixation. Both clinical and radiographical assessment was done postoperatively after 3 months to evaluate enophthalmos, vertical dystopia, recovery of infraorbital paraesthesia, malar height and malar projection. Results and observation: The mean deficit in malar projection in group 1 patients was 2.80 ± 1.398 mm as compared to 1.70 ± 1.160 mm deficit in group 2 patients. The mean deficit in malar height in group 1 patients was 2.60 ± 0.966 mm as compared to 2.00 ± 0.943 mm deficit in group 2 patients. But P-values were not statistically significant. Conclusion: We recommend two-point fixation over three-point with titanium miniplates for the management of displaced zygomatic fractures.