An interventional study of Y modification of transconjunctival approach in Zygomatic Fractures, sponsored by Hams Hamed Abdelrahman. Completed at 1 site in Egypt. Open to participants aged 20 Years to 50 Years. Per ClinicalTrials.gov, last updated 2021-01-22.
Sponsored by Hams Hamed Abdelrahman · Not applicable, Interventional, and Treatment
this study was made on fifteen patients who will undergo fracture repair of the zygomaticomaxillary complex.
Postoperative patient evaluation performed with specific attention paid towards, accessibility the exposure duration(time from incision till exposure of the field), esthetic appearance, post-operative pain, post-operative edema, orbital movement, wound healing, scarring infection, and the post-operative ocular complications such as ectropion, entropion, enophthalmos, scleral show and corneal abrasion.
Postoperative clinical examinations along with radiographic examination was done to evaluate the position of zygoma and determine the adequacy of fracture reduction.
2,261 studies on the registry are indexed under Fractures, Bone; 325 are open to participants now.
This study's enrollment of 15 is below the median of 69 across 1,482 interventional studies indexed under Fractures, Bone.
Browse Fractures, Bone studies →Hams Hamed Abdelrahman is the lead sponsor of 107 studies on the registry; 8 are open to participants now.
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Exclusion criteria
Procedure: Y modification of transconjunctival approach
Section of the orbital septum is done at the Arcus Marginalis and subperiosteal dissection done to expose the infraorbital rim and orbital floor. Subsequently, canthotomy of the superficial limb of the lateral canthal ligament is performed and subperiosteal dissection is carried out to expose the fracture at the frontozygomatic region. The cutaneous Y will transform into a box when retracting its corners, increasing the working area and allowing access of the frontozygomatic (FZ) suture, lateral orbital wall, body of the zygoma, infraorbital rim, and floor of the orbit with a single approach. A small upper vestibular incision is placed to expose the fracture at the zygomatic buttress. Reduction and fixation of fractures in a regular fashion are accomplished.
The exposure duration
The time taken between performing the incision till exposure of the field
Time frame: at the surgery
postoperative edema
the postoperative edema was categorized subjectively into mild (just noticeable), mild to moderate (more obvious edema without occlusion of palpebral fissure), moderate to severe (edema partially occluding palpebral fissure), and severe (edema totally occluding palpebral fissure).
Time frame: after 1 week
change in postoperative pain
assessed through a 10-point Visual Analogue Scale (VAS),(34) (0-1=none,2-4=mild,5-7=moderate,8-10=severe).
Time frame: 24 hours, 48 hours, 1 week
This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.
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Zygomatic Fractures
Hams Hamed Abdelrahman