title: Causes and management of zygomatic bone fractures at Abbasi Shaheed Hospital Karachi (analysis of 82 patients).
abstract: OBJECTIVE
  To assess the causes and management of Zygomatic bone fractures at Abbasi Shaheed Hospital, Karachi.
  
  
  METHODS
  This study was carried out at Department of Oral & Maxillofacial surgery Abbasi Shaheed Hospital, Karachi. A total of 82 cases were studied. A detailed history was taken, clinical examination was performed and fractures were confirmed by radiography. Management of fractures was done by using different proposed modalities, suitable for every case. A number of factors, like age of patients, causes of trauma and gender were assessed.
  
  
  RESULTS
  The commonest cause of Zygomatic bone fracture was found to be road traffic accident (RTA) 50% (n = 41), followed by assault 23.17% (n = 19), fall 20.73% (n = 17), sports injuries 3.65% (n = 3), and others 2.43% (n = 2) respectively. Right side (55%) was involved a little more than the left side (45%). Zygomatic bone fracture was more prevalent in age group between 21-30 years, while male to female ratio was 5.30:1. Remote reduction using Gillie's Temporal Approach with and without fixation using bone plates were the commonest management modalities used in this center.
  
  
  CONCLUSIONS
  The commonest cause of Zygomatic bone fracture was found to be road traffic accident, with the right side fractures being more common. It reveals poor road traffic sense in road users, lack of road safety measures and legislation in our population.
authors.affiliation: LUMHS, Jamshoro.
authors.forename: Suneel Kumar
authors.initials: SK
authors.lastname: Punjabi
authors.lastname: Habib-ur-Rehman
authors.forename: Zahid
authors.initials: Z
authors.lastname: Ali
authors.forename: Shaheen
authors.initials: S
authors.lastname: Ahmed
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001265:Athletic Injuries / Q000453:epidemiology; D002648:Child; D019468:Disease Management; D005260:Female; D005592:Fracture Fixation / Q000379:methods / Q000706:statistics & numerical data*; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010154:Pakistan / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D017678:Sex Distribution; D014505:Urban Population; D014754:Violence / Q000706:statistics & numerical data; D055815:Young Adult; D015051:Zygomatic Fractures / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery*