Management of zygomatic complex fractures in a tertiary hospital: a retrospective study.
OBJECTIVE
This retrospective study was done to analyse the management of zygomatic complex fractures necessitating surgical intervention in a tertiary care hospital in a 8 year period in terms of incidence, cause, pattern and treatment.


METHODS
Two hundred and thirteen cases of zygomatic complex fractures treated during this period were analysed.


RESULTS
One hundred and eighty three cases of zygomatic complex fractures were treated by a two point fixation while additional fixation was used in 25 cases and single point fixation in five cases. The main etiology in zygomatic complex fractures was Road traffic accidents (RTA) (83.56 %-178 cases) followed by sport injuries (10 cases-4.65%), accidental falls (19 cases-8.9%) and domestic violence (2.81%-6 cases). The average age at the time of injury was 34.36 years with the age range being 7 years to 75 years. The highest incidence of fractures was seen in the third decade of life (102 cases) (47.88 %) followed by the second decade (44 cases) (20.65%), 41 cases (19.24 %) in the 4th decade, 8 cases each (3.75%) in the 5th and 6th decades, six cases (2.81%) in the 7th decade and four cases (1.87%) in the 8th decade.


CONCLUSIONS
The protocol of two point fixation was found to be adequate in most cases of zygomatic complex fractures in terms of stability and restoration of contour and function.
Vydehi Institute of Dental Sciences, Bangalore, India.
Suresh
S
Menon
Ramen
R
Sinha
Gopal
G
Thapliyal
Tapas
T
Bandyopadhyay