A Comparison of Three Surgical Approaches to Zygomaticomaxillary Fractures

University of Alexandria

Status: Completed

Conditions: Zygomatic Fractures

Treatments: Procedure: subtarsal approach; Procedure: conventional transconjunctival approach; Procedure: transconjunctival approach with Y- modification

Study type: Interventional

Funder types: Other

Identifiers

NCT05695872

UAlexandriaMaxFacSurg

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 24 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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24 participants in 3 patient groups

subtarsal approach

Active Comparator group

Treatment:

Procedure: subtarsal approach

conventional transconjunctival approach

Active Comparator group

Treatment:

Procedure: conventional transconjunctival approach

transconjunctival approach with Y- modification

Active Comparator group

Treatment:

Procedure: transconjunctival approach with Y- modification