ĐẶC ĐIỂM LÂM SÀNG, LOẠI HÌNH GÃY PHỨC HỢP XƯƠNG GÒ MÁ QUA 264 TRƯỜNG HỢP ĐIỀU TRỊ TẠI BỆNH VIỆN QUÂN Y 103 NĂM 2024

Abstract

Objective: Describe the clinical characteristics and types of zygomatico-maxillary (ZMC) fractures at the Department of Maxillofacial and Plastic Surgery - Military Hospital 103 in 2024. Subjects and methods: Cross-sectional descriptive study on 264 patients diagnosed with ZMC fractures at the Department of Maxillofacial and Plastic Surgery - Military Hospital 103 from January 2024 to December 2024. Results: Average age: 30.5 ± 11.6 years old, male/female ratio = 7.5/1; the main cause is traffic accidents with 94.8%. Clinically: sharp pain at the fracture point accounts for the highest proportion (96.6%), followed by swelling (93.2%), bruising around the eyelids (92.8%), ladder sign (83.7%), and cheekbone deformity (75.8%). Classification according to  Knight - North: Group I: 2.7%; Group II: 3.4%; Group III: 29.9%; Group IV: 24.6%; Group V: 29.5%; Group VI: 9.9%. Classification according to Marcus Zingg: type B: 77.3%, type A: 12.8%, type C: 9.9%. Combined injuries: facial soft tissue injuries (26,1%), maxillary fractures (12.1%), mandibular fractures (10,2%); traumatic brain injuries (30.7%). Conclusion: ZMC fractures mainly occur in men, aged 20 - 40, due to traffic accidents. The most common clinical symptom is sharp pain. The most common type of fracture is type B - according to Marcus Zingg. Common combined injuries are facial soft tissue injuries and traumatic brain injury.