Surgical Results of Zygomatico-Orbital Complex Fractures according to the 3-dimensional Classification
Journal of the Korean Ophthalmological Society
;
: 1957-1966, 2005.
Article
in Korean
| WPRIM
| ID: wpr-166054
ABSTRACT
PURPOSE:
To classify zygomatico-orbital fractures based on Zingg's classification and to evaluate the results of treatment.METHODS:
Thirty patients who were diagnosed with zygomatico-orbital fracture between 2000 and 2004 were classified based on Zingg's classification, were treated and followed up for more than 3 months. Of the 30 patients, 28 received surgical treatment, including Gillies reduction or open reduction and rigid fixation with a microplate.RESULTS:
The mean follow-up period was 6 months. Most of the patients were satisified with the results of surgery. There were no secondary operations due to facial asymmetry, secondary wound infection, microplate exposure or paresthesia. However, there were 3 re-operations for diplopia, enophthalmos, and lower eyelid retraction, respectively; the conditions had persisted until postoperative 2 weeks.CONCLUSIONS:
The use of 3-dimensional Zingg's classification for zygomatico-orbital fractures appeared to be beneficial in making more accurate diagnoses and in determining surgical treatment. Oculoplastic approaches, including subciliary or transconjunctival incision, Gillies reduction and rigid fixation with a microplate, are considered to be good methods for the treatment of zygomatico-orbital fractures, as they are associated with exact anatomical and functional restoration and few complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paresthesia
/
Wound Infection
/
Enophthalmos
/
Follow-Up Studies
/
Classification
/
Diagnosis
/
Diplopia
/
Eyelids
/
Facial Asymmetry
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2005
Type:
Article
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