Midfacial fractures: different trends in management

ABSTRACT

This study was undertaken to determine the anatomic distribution and different methods of treatment of midface fractures. Ninety-seven consecutive patients with midface fractures were treated at the Department of Oral and Maxillofacial Surgery, de, Montmorency College of Dentistry, Punjab Dental Hospital, Lahore during the year 2001-2002. A review of patients' records and radiographs were conducted. Data regarding anatomic site and treatment modalities were reviewed. The zygomatic bone was the most commonly involved [64.71%], followed by maxilla [28.43%], nasal bone [3.92%] and nasoethmoidal fractures [2.94%]. Le Fort I was the most common fracture. The maxillary fractures were mostly treated with suspension wiring [31%] while in Zygomatic complex [ZC] fractures Gillies' approach [37.9%] was the common method of management. The miniplates fixation was performed in 20.7% and 13.6% cases of maxillary and ZC fractures respectively