title: Variables related to surgical and nonsurgical treatment of zygomatic complex fracture.
abstract: The aim of this retrospective research was to establish the association between variables for the surgical treatment of zygomatic complex (ZC) fractures. In a 10-year period, 532 patients were examined for ZC fractures. The medical records of patients were analyzed to obtain information related to sociodemographic characteristics, trauma etiology, sign and symptoms of patients, and surgical or nonsurgical treatment. Statistical analysis was performed using χ test with statistical significance of P < 0.05. Most fractures were sustained by subjects between 21 and 40 years of age (55.8%), being principally men (80.1%), and 153 patients underwent surgery (28.8%). Surgical treatment of ZC fractures was statistically associated to the presence of other facial fractures (P = 0.004), alteration of occlusion (P = 0.0001; probably due to jaw fractures), presence of the comminuted fractures (P = 0.0002), and infraorbital nerve sensory disturbances (P = 0.003). A mixture of complex variables can be associated to surgical treatment; however, variables as comminuted fracture and alteration of occlusion were associated to surgical treatment indications.
authors.affiliation: Division of Oral and Maxillofacial Surgery, Piracicaba Dental School, State University of Campinas, São Paulo, Brazil. solate@fop.unicamp.br
authors.forename: Sergio
authors.initials: S
authors.lastname: Olate
authors.forename: Sergio Monteiro
authors.initials: SM
authors.lastname: Lima
authors.forename: Renato
authors.initials: R
authors.lastname: Sawazaki
authors.forename: Roger William Fernandez
authors.initials: RW
authors.lastname: Moreira
authors.forename: Márcio
authors.initials: M
authors.lastname: de Moraes
mesh_terms: D000058:Accidental Falls; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005147:Facial Bones / Q000293:injuries; D005260:Female; D005500:Follow-Up Studies; D018460:Fractures, Comminuted / Q000150:complications; D006801:Humans; D007223:Infant; D004204:Joint Dislocations / Q000150:complications; D008297:Male; D008310:Malocclusion / Q000150:complications; D008446:Maxillofacial Injuries / Q000150:complications; D008875:Middle Aged; D009915:Orbit / Q000294:innervation; D012189:Retrospective Studies; D012678:Sensation Disorders / Q000150:complications; D012737:Sex Factors; D012887:Skull Fractures / Q000150:complications; D014754:Violence; D055815:Young Adult; D015051:Zygomatic Fractures / Q000601:surgery* / Q000628:therapy