classification of fractures of mandible, fractures of midface, fractures of zygomaticomaxillary complex, fractures of NOE (facial fractures). Zygomaticomaxillary complex (ZMC) fractures, also known as a tripod, tetrapod, quadripod, malar or thoracolumbar spinal fracture classification systems. ZMC complex fracture. Tripod fx Right zygomaticomaxillary complex fracture with disruption of the lateral orbital wall, orbital floor, zygomatic arch and maxillary sinus. The zygomaticomaxillary complex fracture, also known as a quadripod fracture, quadramalar Classification. D · ICD .

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Modern systems exclusively account for the extent localized vs. Fragmentation must be distinguished from the overall fracture pattern, which refers to the distribution and number of fractures over the regions in the entire midface.

Therefore, displacement of the monobloc is the only recordable morphology feature in the skull-view menu bar. Raveh J, Vuillemin T. Tooth avulsion, tooth loss, or missing teeth can be easily recognized, as radiographs show an empty socket. Panfacial fracture including lower central midface fracture analogous to Hemi Le Fort I fracture. Lateral cranio-orbital facial injury: Br J Plast Surg.

W1 im 2 iOrbit left: Classiflcation case review of palatal fracture: Towards a classification system for complex craniofacial fractures. ZMC complex fracture Right zygomaticomaxillary complex fracture with disruption of the lateral orbital wall, orbital floor, zygomatic arch and maxillary sinus.

To carry out extrapolations on fracctures trauma, severity necessitates retraceable zjc to a multitude of variables and factors such as bone quantity and quality, associated soft-tissue damage, functional impairment, age, physical or calssification comorbidities, quality-of-life issues and social reintegration, what imposes considerable constraints to a simple data acquisition, and reproducible documentation.

Support Radiopaedia and see fewer ads. Edentulism—Degree of Maxillary Atrophy Over time, the alveolar ridge of any edentulous portion in the anterior and posterior maxilla classificatiom be gradually resorbed and remodeled with subsequent reduction of height. Pitfalls in the management of zygomatic fractures. When displaced also, the tooth suffers partial axial shifting out of its socket extrusion. The classificatino of malar fractures: Z0i – 93 m. Accessed August 24, Individual teeth or teeth groups are often acronymed: This level 3 Midface Module allows for a meticulous anatomical delineation of the most common fracture patterns in the fracturws and a description of the fracture morphology.


The degree of alveolar atrophy separately can be registered in the tooth gaps or overall in the maxillary processes. Existing classification systems concentrate either to the degree of fragmentation and avulsion of the medial canthal ligament 8 or to the topographic extension isolated NOE vs. There are several classification proposals in prosthetic dentistry and implantology to quantify the degree of atrophy in edentulous jaws.

The authors are grateful to all surgeons, as listed in the introduction paper of this series, 1 who participated in the successive classification sessions and provided their fruitful support in the development and validation of this mandibular fracture classification system.

Biomechanics of the facial skeleton. This method is fraught with imprecision, in particular, if complex fracture patterns are evaluated. The zygomaticosphenoid suture ZSS line labeled as subregion ID 7 abuts the posterior margin of the lateral orbital process of the zygoma to the anterior edge of the greater wing of the sphenoid.

Li K K, Stephens W. Bumper fracture Segond fracture Gosselin fracture Toddler’s fracture Pilon fracture Fravtures fracture Tillaux fracture.

Zygomaticomaxillary complex fracture

A classification of injuries of the nasal skeleton. These injuries include enamel fractures confined to the enamelenamel-dentin-pulp fractures substantial loss of tooth substancecrown-root fractures involving both the coronal and intra-alveolar parts of the toothand root fractures only within the intra-alveolar part.

The nasal skeleton is represented within the UCM including the upper septum, whereas the lower septum is included within in the LCM. The division line between UCM and ICM coincides with the demarcation between the medial and the inferior orbital rim in the inferomedial quadrant. If there is suspicion for tooth injuries or loss, the nature of which cannot be further clarified e.

J—M axial CT scans; N sagittal CT scans—at lateral lamina of pterygoid process right, O at medial lamina of pterygoid process right, P at medial lamina of pterygoid process left, Q at lateral lamina of pterygoid process left, and R at lateral orbital rim left.

In the latter case, any associated root fracture has to be registered. Nomenclature of frontobasal trauma: Right zygomaticomaxillary complex fracture with disruption of the lateral orbital wall, orbital floor, zygomatic arch and maxillary sinus. Infobox medical condition new. Z1li – 93 m. Management of the medial canthal tendon in nasoethmoid orbital fractures: In most cases, there is loss of sensation in the cheek and upper lip due to infraorbital nerve injury.


Fragmentation occurs in an abundant variety depending on the distribution, number, and size of fragments.

Zygomaticomaxillary complex fracture – Wikipedia

The formerly used ‘tripod fracture’ refers to these buttresses, but did not also incorporate the posterior relationship of the zygoma to the sphenoid bone at the zygomaticosphenoid suture. They are the second most common facial bone fracture after nasal bone fractures. Naso-orbito-ethmoid Fractures In addition to nasal fracture components naso-orbital-ethmoid NOE fracture entities typically involve the internal orbit, the lacrimal bone, and ethmoid.

In gractures tooth numbering formula of the ADA American Dental Associationthe teeth are marked with consecutive numbers following a clockwise order beginning with the maxillary right third molar 1 and continuing to the mandibular right third molar Fragmentation is one of the features of fracture morphology.

I Lamellar fracture of the anterior superior orbital wall in the superolateral quadrant, a fracture line running through the piriform rim in the ICM, a unilateral naso-orbito-ethmoidal fracture through the nasal bone, the nasofrontal process, and a lamellar fracture of classifiction medial orbital wall in addition to fractures displayed in H.

This en bloc zygoma fracture can be marked in the menu bars of the skull view, what will be responded with an intense magenta coloration of the zygoma including the complete lateral wall of the orbit as is characteristic for level 2 Fig.

Unable to process the form. Plastic and Reconstructive Surgery. Traditional nasal fracture classifications employ the direction frontal vs.

Accordingly, the LCM includes the solid body classificatikn the maxilla, the maxillary tuberosity, and the upper alveolar processes of the maxilla, which enclose the sockets and the roots of the upper teeth. A new proposal of classification of zygomatic arch fractures.