RECONSTRUCTION OF ZYGOMATICOMAXILLARY COMPLEX THROUGH UPPER EYELID INCISION: A CLINICAL CASE REPORT

Đức Vượng Nguyễn 1, Bảo Sơn Nguyễn 1, Đình Chương Nguyễn 1, Đình Khả Trần 2, Hồng Ngọc Đào 2, Thế Hưng Bùi 1, Thị Kiều Thơ Nguyễn 1,
1 University of Medicine and Pharmacy at Ho Chi Minh City
2 Gia Dinh People's Hospital

Main Article Content

Abstract

Objectives: Currently, there are various approaches and treatment modalities available for addressing zygomaticomaxillary complex fractures that require surgical intervention. Choosing the appropriate treatment method depends on the nature of the injury in each particular case. Case report: A 55-year-old female patient who experienced trauma to the right head and face in a traffic accident was diagnosed with a zygomaticomaxillary complex fracture classified as Grade II-B-R according to the Ozyazgan 2007 classification [1]. When the patient's condition stabilized, fractured bone reduction and fixation were conducted concurrently with upper eyelid blepharoplasty tailored to the patient's aesthetic needs. The surgery achieved good outcomes in terms of both function and aesthetics, with the patient expressing satisfaction with the surgical outcome. Discussion: There are various classifications and treatment approaches for zygomaticomaxillary complex fractures. The surgeon needs to accurately assess the injuries and may coordinate multiple approaches to achieve the highest level of precision when adjusting the injuries. In this case, performing upper eyelid blepharoplasty simultaneously with fractured bone reduction and fixation is regarded as the most suitable option. Conclusion: Zygomaticomaxillary complex fracture is a common maxillofacial injury. Treatment options need to be personalized depending on the type of injuries and the patient's needs to achieve both functional and aesthetic results.

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References

1. Panneerselvam, E., P. Ravi, and B. Sasikala, Fractures of the Zygomaticomaxillary Complex, in Oral and Maxillofacial Surgery for the Clinician, K. Bonanthaya, et al., Editors. 2021, Springer Nature Singapore: Singapore. p. 1151-1199.
2. Starch-Jensen, T., L.B. Linnebjerg, and J.D. Jensen, Treatment of Zygomatic Complex Fractures with Surgical or Nonsurgical Intervention: A Retrospective Study. Open Dent J, 2018. 12: p. 377-387.
3. Farber, S.J., et al., Current Management of Zygomaticomaxillary Complex Fractures: A Multidisciplinary Survey and Literature Review. Craniomaxillofac Trauma Reconstr, 2016. 9(4): p. 313-322.
4. Ji, S.Y., et al., Surgical Methods of Zygomaticomaxillary Complex Fracture. Arch Craniofac Surg, 2016. 17(4): p. 206-210.
5. Dũng, V.A., Nghiên cứu đặc điểm lâm sàng và hiệu quả điều trị gãy phức hợp gò má - cung tiếp có thoát vị tổ chức quanh nhãn cầu vào xoang hàm. 2020, Trường đại học Y Hà Nội.
6. Marinho, R.O. and B. Freire-Maia, Management of fractures of the zygomaticomaxillary complex. Oral Maxillofac Surg Clin North Am, 2013. 25(4): p. 617-36.
7. Zhang, X., et al., Surgical navigation improves reductions accuracy of unilateral complicated zygomaticomaxillary complex fractures: a randomized controlled trial. Sci Rep, 2018. 8(1): p. 6890.
8. Pohlenz, P., et al., Intraoperative cone-beam computed tomography in oral and maxillofacial surgery using a C-arm prototype: first clinical experiences after treatment of zygomaticomaxillary complex fractures. J Oral Maxillofac Surg, 2009. 67(3): p. 515-21.