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neurological clearance in patients with possible head dehiscence of the oral wounds. No other significant
injury, or other traumatic injuries of the body. It is complications were noted. Two patients complained of
[10]
acceptable to wait for the peri‑orbital edema to resolve persistent infra‑orbital nerve paresthesia, which is an
since it allows for better palpation and manipulation of accepted side effect of ZMC fractures and their treatment.
the fracture segments intraoperatively. In this study, all This side effect may or may not be related to actual
[2]
these reasons accounted for the delay in surgical treatment surgical manipulation. [17]
after injury ranging from 0 day to 6 days. Various surgical Our review of patients with iZMC fractures shows that an
approaches for reduction of iZMC fractures and nonrigid individualized approach to need for surgical reduction and
methods of fixation have been proposed even with the type of fixation provides optimum outcomes with minimal
advent of mini‑plate osteosynthesis. However, recent complications.
[11]
reviews state that each case must be individualized
because fixation requirements differ greatly from one
fracture to another. [2] ACKNOWLEDGEMENT

A detailed review of iZMC fractures was performed by Ellis We would like to thank the faculty and staff of Cheema
and Kittidumkerng. They proposed an algorithm to Medical Complex, Mohali, Punjab, where the surgical
[8]
assess the need for fixation of reduced iZMC fractures and work and patient care was performed.
concluded that each case must be individualized for type of
surgical fixation. As per the suggested algorithm, reduction of REFERENCES
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Many authors have noted complications in the How to cite this article: Datta R, Harit K, Grewal Y. Management of
management of iZMC fractures and they range from isolated zygomaticomaxillary complex fractures with an individualized
malunion, improper reduction, failure of hardware, approach: a retrospective study. Plast Aesthet Res 2014;1:51-3.
aesthetic and functional impairment. [4,14,16] In this study, Source of Support: Nil, Conflict of Interest: None declared.
bone plates were removed in two patients due to Received: 23-05-2014; Accepted: 10-07-2014

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