KẾT QUẢ ĐIỀU TRỊ NỘI TRÚ BỆNH NHÂN GÃY PHỨC HỢP XƯƠNG GÒ MÁ - Ổ MẮT TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Background: Maxillofacial fracture is becoming one of the most common types of injuries. Among them, fractures of the zygomatico-archial complex account for a high proportion of maxillofacial fractures, accounting for up to 40%. Patients and methods: A cross-sectional descriptive study was conducted. The study included 244 medical records of patients with complex zygomatic-orbital fractures from 01/2022 to 12/2022. Results: Males accounted for 77.5% and females for 22.5%. The average age was 32.4 years. Main clinical symptoms: Facial asymmetry, significant swelling in 98.4%, facial wounds in 63.5%, restricted mouth opening in 41.8%, numbness in 21.3%. Associated injuries: Skull trauma (33.2%), limb injuries (14.8%). Zingg classification of fractures: Type B (49.2%), Type C (26.6%). Surgical indications for combined bone fixation were 88.9%, while conservative treatment and orbital floor reconstruction were 11.1% and 5.3%, respectively. Titanium screws were used in 93.5% of cases, with only 6.5% using absorbable screws. 90% of orbital floor reconstructions used autogenous bone grafts. Screw fixation at the zygoma-maxillary buttress, and orbital lateral rim was most commonly employed. Early complications included wound infections 3.2%, fever 1.8% and postoperative bleeding 0,5%. Conclusion: Treatment of zygomatic-orbital complex fractures requires a combination of surgical methods of bone fixation with screws and orbital floor reconstruction to bring optimal aesthetic and functional results for the patient