Incidence of Zygomatico Maxillary Fracture among the Skull Fracture & Possible Complications
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Introduction: In the modern era Traumatic skull fracture is a common injury need evaluation to prevent possible complications. Different types of skull base fractures are encountered in the world. Most common facial trauma, simply ignored, may cause complication of intra orbital infection, intra cranial complications & facial deformity. Another most common injury is fracture temporal bone. Bilateral Zygomatico maxillary fracture may be turned in to Le-fort fracture. Facial deformities & diplopia are common complication as a consequence of neglected Zygomatico maxillary fracture. Materials and methods: All together 500 cases of skull fracture cases are under studied by Surgeons, Unit-I & Radiologist of the Medical College together. CT Machine Allenger, 60 slices, Toshiba Company is used in the study. Age of the patients is 5 to 80 years. CT scan of all head injury patient are examined carefully & findings are recorded in the Excel table for analysis. Temporal bone fracture cases are further segregated for different types, structures (parts) involved in the fracture. Results: Out of 500 cases of skull fracture 97 cases of Zygomatico maxillary fracture were observed. These fractures are either simple involving the maxillary sinuses, Greater wing of sphenoid &Zygomatico arch or complex Zygomatico maxillary fracture involving orbital cavity, lesser wing of sphenoid & temporal bone. Bilateral Zygomatico maxillary fracture turns in to Le-fort fracture. Injury to the lesser wing may cause compression of the optic canal & injuries associated with the structure passing through the superior, inferior orbital fissure. Conclusion: In the study one clear idea is that most of the time, floor of the orbit is involved in the fracture in such a way that blow in occurs in the form of elevation of the floor of orbit, roof of the maxillary sinus. The elevated or intruded bone piece, either from the floor or the orbital wall, impinges the extra ocular muscles. Hematoma formation & rupture of the eye ball may occur.
Authors and Affiliations
Okram Heramot Singh, N. Somorjit Singh, Ningombam Minita Devi
Keywords
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- EP ID EP381445
- DOI 10.9790/0853-1708113035.
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