COMPARISON BETWEEN SUBTARSAL AND SUBCILIARY INCISION IN MANAGEMENT OF ZYGOMATCO-ORBITAL FRACTURE.

Abstract

Objective: To compare outcome between the subtarsal and subciliary incision in management of zygomatic-orbital fracture in terms of postoperative ectropion. Subject and Methods: This prospective analytical cross-sectional study was performed at department of Oral & Maxillofacial Surgery, Liaquat University of Medical & Health Sciences, Jamshoro. Thirty-two patients of either gender, age 20 to 30 years having isolated zygomatic-orbital fracture were selected by consecutive sampling (16 patients in Subciliary and 16 in Sub-tarsal group), whereas patients with history of zygomatic-orbital fracture, neurological disorder, systemic diseases or immunocompromised patients were excluded. Zygomaticorbital fracture was confirmed by 3D CT scan and PA view of face. After surgery ectropion was monitored for three-weeks as outcome. Results: - Out of 32 zygomaticomaxillary complex fractured patients, male prevalence was high 27 (84.4%) then female patients 5 (15.6%). Most affected age group 21-25 years with 17 (53.1%) patients followed by 26-30 years with 15 (46.9%) patients with mean age of 25.59 ± 3.004 years. Postoperative ectropion was found significantly normal in subtarsal group as compared to subciliary group in all three postoperative weeks. Conclusion: It was concluded that rate of postoperative complications (ectropion) was high in subciliary incision group as compared to subtarsal incision group