Patterns of Zygomatic Complex Bone Fracture in Saudi Arabia

Overview

Journal J Emerg Trauma Shock

Specialty Emergency Medicine

Date 2018 Nov 16

PMID 30429623

Citations 9

Authors

Dawood Ali-Alsuliman

El-Hakim Ibrahim

Ramat Oyebunmi Braimah

Affiliations

Soon will be listed here.

Abstract

Introduction: Zygomatic bone (ZB), also known as the cheekbone, articulates with the maxilla, temporal sphenoid, and the frontal bones. It forms the prominence of the cheek and part of the orbit, and because of its prominence, it is susceptible to trauma. The aim of this study was to present the pattern of ZB fracture in a country in the Middle East.

Patients And Methods: The medical records of all trauma cases admitted to the Department of Oral and Maxillofacial Surgery Ward, Riyadh Dental Centre, King Saud Medical City, Riyadh, Saudi Arabia, were reviewed and all cases with ZB fractures were included in this study from December 2002 to December 2012. Data were analyzed using SPSS version 16 (SPSS Inc., Chicago, IL, USA). The results were presented as simple frequencies and percentages.

Results: A total of 1487 patients had maxillofacial trauma and 306 cases were diagnosed with ZB fractures during the study. There were 271 (88.6%) males and 35 (11.4%) females with male: female ratio of 7.7:1. Age group of 21-30 years has the highest number of fracture cases (133 [43.5%]). Road traffic accident (RTA) remained the leading etiology of zygomatic complex fracture (ZMCF; 221 [72.2%]). August has been observed to be associated with the highest cases of ZMCF (40 [13.1%]). The years 2005 and 2006 recorded the highest frequency of ZMCF cases (46 [15.0%] and 44 [14.4%], respectively).

Conclusion: The results of this study showed that RTA is the leading cause of ZB fractures followed by assaults. The most commonly fractured site was the zygomaticomaxillary. Proper road traffic regulation is paramount to help reduce maxillofacial trauma.

Citing Articles

Evaluation of Different Patterns of Zygomaticoorbital Complex Fractures.

Sakkas A, Weiss C, Pietzka S, Wilde F, Thiele O, Mischkowski R Craniomaxillofac Trauma Reconstr. 2024; 17(2):92-103.

PMID: 38779395 PMC: 11107820. DOI: 10.1177/19433875231161906.

Clinical application of double eyelid incision in internal fixation of zygomatic-frontal fracture.

Feng D, Xu P, Sun Y Hua Xi Kou Qiang Yi Xue Za Zhi. 2024; 40(4):436-439.

PMID: 38596960 PMC: 9396436. DOI: 10.7518/hxkq.2022.04.010.

Factors Associated with Deterioration in Quality of Life of Subjects after Maxillofacial Fractures - A Prospective Study.

Adetayo A, Somoye M, Fasesan O, Oyedele A, Adetayo M Ann Maxillofac Surg. 2024; 13(2):189-194.

PMID: 38405566 PMC: 10883217. DOI: 10.4103/ams.ams_38_23.

A Comprehensive Look at Maxillofacial Traumas: On the Basis of Orbital Involvement.

Gokharman F, Kadirhan O, Aydin O, Yalcin A, Kosar P, Aydin S Diagnostics (Basel). 2023; 13(22).

PMID: 37998566 PMC: 10670346. DOI: 10.3390/diagnostics13223429.

Trends of maxillofacial and mandibular fractures in level I and II trauma patients in a tertiary hospital in Saudi Arabia.

Asiri A, Algoblan D, Asiri E, Albishi S, Al Salamah M Saudi Dent J. 2022; 34(8):772-778.

PMID: 36570582 PMC: 9767832. DOI: 10.1016/j.sdentj.2022.11.010.

References

Le B, Dierks E, Ueeck B, Homer L, Potter B . Maxillofacial injuries associated with domestic violence. J Oral Maxillofac Surg. 2001; 59(11):1277-83; discussion 1283-4. DOI: 10.1053/joms.2001.27490. View

Ugboko V, Udoye C, Ndukwe K, Amole A, Aregbesola S . Zygomatic complex fractures in a suburban Nigerian population. Dent Traumatol. 2005; 21(2):70-5. DOI: 10.1111/j.1600-9657.2004.00275.x. View

Dai J, Xu D, Yang C, Li Z, Li Z . Treatment of Sagittal Fracture of the Zygomatic Arch Root Assisted by Surgical Navigation Technology. J Craniofac Surg. 2018; 29(4):1031-1033. DOI: 10.1097/SCS.0000000000004276. View

Menon S, Sinha R, Thapliyal G, Bandyopadhyay T . Management of zygomatic complex fractures in a tertiary hospital: a retrospective study. J Maxillofac Oral Surg. 2012; 10(2):138-41. PMC: 3177529. DOI: 10.1007/s12663-011-0199-8. View

Adeyemo W, Ladeinde A, Ogunlewe M, James O . Trends and characteristics of oral and maxillofacial injuries in Nigeria: a review of the literature. Head Face Med. 2005; 1:7. PMC: 1277015. DOI: 10.1186/1746-160X-1-7. View

Cook H, Rowe M . A retrospective study of 356 midfacial fractures occurring in 225 patients. J Oral Maxillofac Surg. 1990; 48(6):574-8. DOI: 10.1016/s0278-2391(10)80469-0. View

Al Ahmed H, Jaber M, Abu Fanas S, Karas M . The pattern of maxillofacial fractures in Sharjah, United Arab Emirates: a review of 230 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 98(2):166-70. DOI: 10.1016/j.tripleo.2004.01.020. View

Obuekwe O, Owotade F, Osaiyuwu O . Etiology and pattern of zygomatic complex fractures: a retrospective study. J Natl Med Assoc. 2005; 97(7):992-6. PMC: 2569317. View

Trivellato P, Arnez M, Sverzut C, Trivellato A . A retrospective study of zygomatico-orbital complex and/or zygomatic arch fractures over a 71-month period. Dent Traumatol. 2011; 27(2):135-42. DOI: 10.1111/j.1600-9657.2010.00971.x. View

10.

Iribhogbe P, Odai E . Driver-related risk factors in commercial motorcycle (okada) crashes in Benin City, Nigeria. Prehosp Disaster Med. 2009; 24(4):356-9. DOI: 10.1017/s1049023x00007093. View

11.

Girotto J, MacKenzie E, Fowler C, Redett R, Robertson B, Manson P . Long-term physical impairment and functional outcomes after complex facial fractures. Plast Reconstr Surg. 2001; 108(2):312-27. DOI: 10.1097/00006534-200108000-00005. View

12.

Gomes P, Passeri L, de Albergaria Barbosa J . A 5-year retrospective study of zygomatico-orbital complex and zygomatic arch fractures in Sao Paulo State, Brazil. J Oral Maxillofac Surg. 2005; 64(1):63-7. DOI: 10.1016/j.joms.2005.09.012. View

13.

Adam A, Zhi L, Bing L, Zhong Xing W . Evaluation of treatment of zygomatic bone and zygomatic arch fractures: a retrospective study of 10 years. J Maxillofac Oral Surg. 2013; 11(2):171-6. PMC: 3386399. DOI: 10.1007/s12663-011-0294-x. View

14.

Henderson M, Wood R . Editorial: Compulsory wearing of seat belts in New South Wales, Australia. An evaluation of its effect on vehicle occupant deaths in the first year. Med J Aust. 1973; 2(17):797-801. View

15.

Hutchison I, Magennis P, Shepherd J, Brown A . The BAOMS United Kingdom survey of facial injuries part 1: aetiology and the association with alcohol consumption. British Association of Oral and Maxillofacial Surgeons. Br J Oral Maxillofac Surg. 1998; 36(1):3-13. DOI: 10.1016/s0266-4356(98)90739-2. View

16.

Runci M, De Ponte F, Falzea R, Bramanti E, Lauritano F, Cervino G . Facial and Orbital Fractures: A Fifteen Years Retrospective Evaluation of North East Sicily Treated Patients. Open Dent J. 2017; 11:546-556. PMC: 5712659. DOI: 10.2174/1874210601711010546. View

17.

Shere J, Boole J, Holtel M, Amoroso P . An analysis of 3599 midfacial and 1141 orbital blowout fractures among 4426 United States Army Soldiers, 1980-2000. Otolaryngol Head Neck Surg. 2004; 130(2):164-70. DOI: 10.1016/j.otohns.2003.09.018. View

18.

Ugboko V, Olasoji H, Ajike S, Amole A, Ogundipe O . Facial injuries caused by animals in northern Nigeria. Br J Oral Maxillofac Surg. 2002; 40(5):433-7. View

19.

Haug R, Foss J . Maxillofacial injuries in the pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 90(2):126-34. DOI: 10.1067/moe.2000.107974. View

20.

Elarabi M, Bataineh A . Changing pattern and etiology of maxillofacial fractures during the civil uprising in Western Libya. Med Oral Patol Oral Cir Bucal. 2018; 23(2):e248-e255. PMC: 5911362. DOI: 10.4317/medoral.22268. View