NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, X QUANG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT GÃY PHỨC HỢP GÒ MÁ BẰNG NẸP VÍT NHỎ TẠI BỆNH VIỆN ĐA KHOA THỐNG NHẤT- ĐỒNG NAI NĂM 2021-2022

Abstract

Background: The zygomatic complex is one of the important bones of the mid-face, directly affecting the aesthetics and function of the craniofacial bone. Zygomatic complex was fixed to adjacent bone in sutures providing long – term stability and restoring the function and aesthetics of the cheekbone. Objectives: This is a crossectional, depscriptive study. To evaluate the clinical, X ray features and the results of zygomatic complex fracture treated by miniplates in Thong Nhat Hospital between 2021 and 2022. Materials and methods: A case series included 24 patients with unilateral zygomatic complex fracture. All the information of the patients participated in this study were recorded in epidemiological and clinical features including flat cheek, periorbital ecchymosis, subconjunctival hemorrhage, soft tissue wounds, trismus; and the X ray signs. After 3 months of surgery, patients were evaluated on the results of the management about function and aesthetics. Results: The study included 20 male and 04 female patients with average ages of 32,58±13,29. Clinical signs: 100% of patients had flattened cheeks, periorbital ecchymosis, subconjunctival hemorrhage; 100% trismus and pain on palpation. Radiographic features included continuous loss of bone border which was 100%. 3 months postoperative: 100% patients had good functional results, in terms of anatomy and esthetics 83,3% perfect, 16.7% was good. Conclusion: Management of zygomatic complex fracture with miniplate brought a good result for the patients.