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JOURNAL OF MAXILLOFACIAL TRAUMA
Rivista di Traumatologia Maxillofacciale
Official Journal of the International Society of Maxillofacial Trauma
Journal of Maxillofacial Trauma 2013 April;2(1):14-22
Management of zygomatic complex fractures compared with treatment based on Rowe and William’s classification: a clinical study
Verma A. 1, Jindal N. 2, Singh V. 2, Goel M. 2, Yadav S. 1
1 Department of Oral and Maxillofacial Surgery PDM Dental College, Bahadurgarh, Haryana, India;
2 Department of Oral and Maxillofacial Surgery Government Dental College, PGIMS Rohtak, Haryana, India
Aim: This study evaluated various treatment modalities of zygomatic fractures and analyzed these with Rowe and William’s classification.
Methods: A total of 96 cases of zygomatic complex fractures were treated with different treatment modalities like conservative in 24 cases (Group A), indirect reduction in 34 cases (Group B) and direct reduction with fixation in 38 cases (Group C). All patients were followed up for 3 months postoperatively. Various clinical and radiographic parameters were analyzed. Statistically significant results were observed at follow-up in all groups.
Results: These groups were then evaluated on the basis of Rowe and William’s classification and it was observed that while it is valid for medially displaced arch fractures, enbloc fractures and comminuted fractures, its usefulness could not be proved in horizontal axis rotated and vertical axis rotated fractures.
Conclusion: No two zygomatic complex fractures are exactly similar. So no classification which guides the operator regarding treatment modality could be strictly adhered to. Treatment in each individual case should depend upon pre-operative investigations and findings at surgical exploration. The choice varies with the severity of fracture and degree of displacement.