Waheed Abdel Hamid Mohamed , Tarek Abbas Hassan, Ayman Ismail Kamel, Tamer Abd-El Bari Hamed And Abd El-Badeea Abd-Allah Abd El-Maaboud,

ABSTRACT


Introduction: Zygomaticomaxillary Complex (ZMC) Fractures Are One Of The Most Frequent Injuries To The Facial Skeleton Due To Its Position And Facial Contour. Although A Great Volume Of Literature Exists On Treatment Of These Injuries, There Is No Consensus. Computed Tomography; Being The Gold Standard For Evaluation Of Maxillofacial Fractures, Is An Indispensable Modality For Diagnosis And Evaluation Of The Fractures Both Pre- And Post-operatively. This Prospective Study Presents An Investigation Of The Quality Of Reduction Of ZMC Fractures Using Multi-detector Computed Tomography (MDCT). Patients And Methods: Fracture Reduction Quality Was Assessed By Comparing Between Pre- And Post-operative Radiographs Using MDCT. Other Variables Examined Included The Demographics, Etiology, And Treatment Modalities. Data Were Collected From Four Egyptian Hospitals, During The Year 2016.

Results: A Total Of 30 Patients Were Presented In Our Study, During The Year 2016. The Higher Incidence Was In Males At Their 2nd Decade Of Life. Road Traffic Accidents Was The Most Common Cause Of Injuries. Fixation Of The Fractured ZMC Was Mainly Achieved Through Open Reduction And Rigid Internal Fixation. As For The Pre- And Post-operative Radiographic Analysis; A Total Of 20 Fractures Were Considered Acceptably Reduced, While An Equal Amount Of Fractures Was Considered Sub-optimally Reduced. Conclusion: ZMC Fractures Are A Common Injury In Young Males Following Road Traffic Accidents In Egypt. Radiographic Analysis Using Multi-detector Computed Tomography Can Accurately Determine Quality Of Fracture Reduction And Drastically Improve Treatment Outcome.