Zygomatic complex fractures: a 5-year retrospective study

Abstract

The aim of this descriptive analytic retrospective study was to evaluate theetiology, clinical features and treatment data of patients with zygomatic complexfractures at our program during a 5-year period.From March 1998 until February 2003. 69 patients presented with zygomaticcomplex fractures were treated by the department of Oral & Maxillofacial Surgery atBaghdad College of Dentistry and private clinic in Iraq. Patient's information wascollected using a specifically designed form.The patient age ranged from 5-68 years with a mean age of 30.5 years, 51 of themwere males and 18 were females. Road traffic accidents (43.5%) was the major causefor fractures (P<0.05). regarding clinical features subconjunctival ecchymosis (61%)and circumorbital ecchymosis (53.6%) were most common observed. The Gilliesapproach (26%) was the commonest method of reduction.This study has shown that road traffic accidents are responsible for mostzygomatic complex fractures in our environment. It also showed a low utilization of technological advances in the imaging and treatment of these fractures.