Management of fractures of the zygomaticomaxillary complex.
The zygomaticomaxillary complex (ZMC) has important aesthetic, structural, and functional roles that need to be preserved and/or restored during treatment of facial fractures. Surgical treatment of ZMC fractures is indicated when there is displacement of the bony fragments, and open reduction and internal fixation is the treatment of choice in cases of comminution or fracture instability. The surgical approaches used for fracture reduction as well as the type, number, and location of the fixation will be determined by the pattern of the fracture and the surgeon's preference. This article discusses the main points of the management of ZMC fractures.
Oral and Maxillofacial Surgery, Hospital Lifecenter, Avenida Contorno, 4747, sala 1311, Funcionários, Belo Horizonte, Minas Gerais 30110-921, Brazil; Oral and Maxillofacial Surgery, Hospital HGIP/IPSEMG, Belo Horizonte, Minas Gerais, Brazil. Electronic address: rodmarinho@yahoo.com.
Rodrigo Otávio Moreira
RO
Marinho
Belini
B
Freire-Maia
D003952:Diagnostic Imaging; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D016268:Internal Fixators; D008440:Maxillary Fractures / Q000175:diagnosis / Q000601:surgery*; D009917:Orbital Fractures / Q000175:diagnosis / Q000601:surgery*; D015050:Zygoma / Q000293:injuries* / Q000601:surgery
Complications; Fixation; Orbital floor fractures; Orbital fractures; Reduction; Surgery; Zygomatic fractures; Zygomaticomaxillary fractures