A Comparison of Three Surgical Approaches to Zygomaticomaxillary Fractures

The Best Approach to Zygomaticomaxillary Fractures: A Comparison of Three Surgical Approaches

The study is a randomized controlled clinical trial, following the Consolidated Standards of Reporting Trials (CONSORT) guidelines. The study is intended to compare between the subtarsal approach, conventional transconjuctival approach and the Y- modification of the transconjuctival approach in the management of zygomatico-maxillay complex fracture.

The study is a randomized controlled clinical trial. Twenty-four patients with age range of 20-50 years requiring open reduction and fixation of a fractured zygomatic complex were randomly divided into three equal groups according to the approach used:

Group A: subtarsal approach group. Group B: conventional transconjuctival approach group. Group C: Y- modification of the transconjuctival approach group.

Inclusion Criteria:

• Patients with ZMC fractures requiring open reduction and internal fixation.
• Adult patients aged between 20 and 50 years with no gender predilection.

Exclusion Criteria:

• An existing laceration in the inferior and lateral periorbital site.
• Infection at the fracture line.
• Comminuted fracture with bone loss.
• Acute and chronic conjunctival diseases.