%0 Journal Article
%T Prospective blind comparative clinical study of two point fixation of zygomatic complex fracture using wire and mini plates
%A Lakshmi N Gandi
%A Vivekanand S Kattimani
%A Amit V Gupta
%A V Srinivas Chakravarthi
%A Sridhar S Meka
%J Head & Face Medicine
%D 2012
%I BioMed Central
%R 10.1186/1746-160x-8-7
%X The aim of this paper is to show the results of 18yrs prospective blind comparative study using wire and plate osteosynthesis which needed open reduction and internal fixation involving Type II to Type IV Spissel and Schroll ZMC fractures.Total 80 cases included in the study out of 1780 ZMC cases which were treated using wire and plate osteosynthesis over a period of 18 yrs, involving only Type II to Type IV Spissel and Schroll ZMC fractures. Other types excluded from study to prevent observer bias. All the fixations carried out through Standard Dingman's incision using stainless steel 26 gauze wire and titanium 1.5 mm mini plate system under general anesthesia by single maxillofacial surgeon and evaluated by another maxillofacial surgeon who is blinded for surgical procedure after 2 and 4 wks of follow-up for facial symmetry, wound healing, functional assessment (mouth opening, diplopia), and sensory disturbance. All the data tabulated in Excel software (Microsoft) for statistical analysis. P-value calculated to know the Significance of treatment modality in all aspects.Result shows no significant p-values indicating both the operating techniques are equally efficient in the surgical management of ZMC fracture.Osteosynthesis by mini plates is simple, logical and effective treatment compared to wire osteosynthesis in regard to stability of fracture fragments. Wire osteosynthesis will be helpful in emergency surgeries or where the mini plates are not available. Even though the wire osteosynthesis is economical compared to mini plate fixation; but the time and skill is required for fixation of wires.The zygomatic complex fractures are one of the most frequent injuries to the facial skeleton due to its position and facial contour [1]. It is quadrilateral bone with irregular convex external surface and concave internal surface having four processes, which articulates with the frontal, maxillary, temporal and sphenoid bones. Its external surface forms the prominence of t
%K Zygomatic maxillary complex (ZMC)
%K Internal fixation
%K Wire osteosynthesis
%K Mini plate osteosynthesis
%K Comparison of fixation
%U http://www.head-face-med.com/content/8/1/7