Optimal treatment of zygomatic fractures: a single-center study results

Yıl 2016, Cilt: 26 Sayı: 1, 42 - 50, 07.02.2016

Karaca Başaran Funda Aköz Saydam Özgür Pilancı Mehmet Sağır Erdem Güven

Öz

Objectives: This study aims to investigate the epidemiological and operative characteristics of patients undergoing surgery for zygomatic fractures. Patients and Methods: Between May 2008 and October 2013, a total of 121 patients 98 males, 23 females; mean age 27 years; range, 9 to 63 years who were operated for zygomatic fractures in our clinic were retrospectively analyzed. Age and sex of the patients, symptoms, fracture and incision sites, length of hospital stay, plate type, treatment options, and complications were recorded. Results: Assault was the leading cause of trauma 39% , followed by traffic accidents 24% . The most common symptom or clinical sign was the periorbital ecchymosis/hematoma. Conservative treatment was applied in 14 patients 12% . Surgery was performed with a closed reduction in 17 patients 14% and open reduction in 90 patients 74% . The most common fracture site was the infraorbital rim in 76 patients 62.8% . A total of 48% patients had three-site, 35% had two-site and 12% had one-site of fixations. The major material used for the orbital floor reconstruction was porous polyethylene in 43.7% patients. Conclusion: Our study results show that surgery is required in the majority of the patients with zygomatic fractures. However, further large studies are required to determine many parameters such as incision sites, plate locations, and the material to be used in orbital floor reconstruction.

Anahtar Kelimeler

Complications, surgery, treatment, zygomatic fracture

Zigoma kırıklarının en uygun tedavisi: Tek merkezli çalışma sonuçları

Öz

Amaç: Bu çalışmada, zigoma kırıkları nedeniyle ameliyat edilen hastaların epidemiyolojik ve cerrahi özellikleri araştırıldı.Hastalar ve Yöntemler: Mayıs 2008 - Ekim 2013 tarihleri arasında zigoma kırıkları nedeniyle kliniğimizde ameliyat edilen toplam 121 hasta 98 erkek, 23 kadın; ort. yaş 27 yıl; dağılım 9-63 yıl retrospektif olarak incelendi. Hastaların yaşı ve cinsiyeti, semptomları, kırık ve insizyon alanları, hastanede kalış süresi, plak tipi, tedavi seçenekleri ve komplikasyonları kaydedildi.Bulgular: Travmanın başlıca nedeni darp %39 ve takiben trafik kazası %24 idi. En sık görülen semptom veya klinik bulgu periorbital ekimoz/hematom idi. On dört hastaya %12 konservatif tedavi uygulandı. On yedi hasta %14 kapalı redüksiyon ve 90 hasta %74 açık redüksiyon ile ameliyat edildi. En sık kırık bölgesi, 76 hastada %62.8 infraorbital rim idi. Hastaların %48’inde üç bölgede, %35’inde iki bölgede ve %12’sinde bir bölgede fiksasyon yapıldı. Hastaların %43.7’sinde orbital taban rekonstrüksiyonunda en sık kullanılan malzeme, poröz polietilen idi.Sonuç: Çalışma bulgularımız, zigoma kırıkları olan hastaların büyük çoğunluğunda cerrahi gerektiğini göstermektedir. Ancak; insizyon yerleri, plak konumları ve orbita taban rekonstrüksiyonunda kullanılması gereken materyal gibi birçok parametrenin belirlenmesi için geniş serili çalışmalara ihtiyaç vardır

Anahtar Kelimeler

Komplikasyonlar, cerrahi, tedavi, zigoma kırığı

Kaynakça

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