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: The Zygomaticomaxillary Complex (ZMC) Is Essential In Defining Facial Aesthetics Due To Its Prominence And Convex Shape. It Also Serves As Major Functional Buttress Of The Face. The Paired Zygomas Are Two Cornerstones That Are Of Surgical Importance In Restoring Lost Orbital Volume And They Serve As References In Midface Fractures Reduction. Primary Goals Are Both Restoration Of Facial Projection & Symmetry And Restoration Of Orbital Volume & Globe Position. Management, However, May Range From Observation To Extensive Reconstruction Of The Zygoma, Orbital Frame, Orbital Floor, And Zygomatic Arch. This Prospective Study Presents An Analysis Of ZMC Fractures Reduction Quality Through Post-operative Clinical Evaluation And Patient Satisfaction From The Overall Treatment Outcome. Patients And Methods: ZMC Fractures Reduction Quality Was Assessed By Analyzing Data From Post-operative Clinical Evaluation As Well As Comparing And Contrasting This Data With The Patients? Satisfaction From The Final Outcome Of Treatment. Other Variables Examined Included The Demographics, Etiology, Radiographic Analysis, 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. Several Post-operative Clinical Parameters Were Evaluated To Assess The Treatment Quality; The Most Common Finding Was Palpation Of ZMC Articulation Which Occurred In 14 Patients, Followed By Abnormal Ocular Movement Which Occurred In 10 Patients. Post-operative Trismus Was Seen In 10 Patients, Whereas Facial Asymmetry Affected 7 Patients. Comparing The Patient Satisfaction Score By Time, A Gradual Increase In Score Was Noted In Both Unilateral And Bilateral Cases. Conclusion: The Diversity Of Injury Patterns In The Maxillofacial Region Makes Each Fracture Unique, Which Adds Difficulty To The Surgeons In Always Reaching A Standard Outcome. One Parameter Or Even More Are Sometimes Inconclusive To Evaluate The Outcome Of Trauma Treatment.