1. Zygomaticomaxillary complex fracture after two-jaw surgery
- Author
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Park, Joseph Kyu-hyung and Kim, Sang Wha
- Subjects
Orthodontics ,business.industry ,Jaw Surgery ,medicine.medical_treatment ,Zygomatic Fractures ,Orthognathic surgery ,Complex fracture ,Fracture site ,Case Report ,Zygomatic fractures ,030206 dentistry ,Osteotomy ,Jaw Fixation Techniques ,03 medical and health sciences ,0302 clinical medicine ,Otorhinolaryngology ,Jaw fixation techniques ,Osteotomy, Le Fort ,Medicine ,Internal fixation ,Surgery ,030223 otorhinolaryngology ,business - Abstract
Orthognathic surgeries often utilize rigid fixation for stabilization of the osteotomy site. The longterm fate of rigid fixations is still under investigation, and whether they should be routinely removed is under debate despite their low complication rates. Here, we report a case where a 26-year-old man suffered high-velocity trauma to his face 7 years after a two-jaw surgery. Computed tomography examination revealed a zygomaticomaxillary complex fracture, and open reduction and internal fixation was performed along with anterior maxillary wall reconstruction using absorbable mesh. Intraoperative examination revealed a broken L-shaped titanium plate near the fracture site with multiple bony fragments near each titanium screw. The rigid titanium system may have caused comminution of the fracture pattern, worsening the severity of the fracture.
- Published
- 2020
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