ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ PHẪU THUẬT ĐƯỜNG RẠCH VÀNH TRONG ĐIỀU TRỊ GÃY PHỨC HỢP GÒ MÁ

Abstract

Objective: To describe the clinical characteristics and to evaluate the surgical outcomes of the coronal approach in the treatment of zygomaticomaxillary complex fractures. Subject and method: A retrospective descriptive case series with short-term longitudinal follow-up was conducted on 90 patients with unilateral zygomaticomaxillary complex fractures treated with the coronal approach at the Department of Oral and Maxillofacial Surgery, Cu Chi Regional General Hospital, from November 2017 to August 2019. Results: Most patients were male, accounting for 85.6% of the study population. The age group under 40 accounted for 63.3%. All patients (100%) presented with swelling, ecchymosis, hematoma, and interrupted bone margin. At the 10-week follow-up, good results were achieved in 78.9% for anatomy, 75.6% for function, and 80.0% for aesthetics. Conclusion: Zygomaticomaxillary complex fractures occurred predominantly in young men and were mainly complex types. The coronal approach provided good treatment outcomes in anatomy, function, and aesthetics.