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Case Studies | Dentistry | Indonesia | Volume 12 Issue 2, February 2023
Treatment of Maxillary and Zygoma Fractures Involving Head Injury: A Case Report
Diera Fitrah Kusumawardhany | Septyan Dwi Wicaksono | Endang Sjamsudin [22] | Melita Sylvyana [6]
Abstract: Introduction: Head injuries often accompany maxillofacial trauma. Neurologic assessment needs to be done in head trauma to determine the severity of the head injury. Careful examination and treatment are necessary for maxillofacial fractures involving head injuries to prevent further complications. Purpose: Writing this case report is to report and discuss the management of maxillary and zygoma fractures accompanied by head injuries due to motorcycle accidents. Case report: A 32-year-old female patient complained of facial and jaw injuries due to an accident while riding a motorbike at moderate speed. On clinical examination, facial asymmetry was found with edema and hematoma in the superior and inferior palpebral areas, Anterior open bite occlusion without difficulty opening the mouth. The CT scan showed the impression of multiple fractures of the facial bones without any signs of intracranial hemorrhage. The patient was diagnosed with Mild head injury, left frontal fracture, zygoma complex fracture, and maxillary fracture. Treatment, in this case, included observation of head injury, wound debridement, and ORIF of the zygoma and maxillary fractures. Conclusion: Treatment of maxillofacial fractures accompanied by head injuries must be prioritized in assessing and treating head injuries. Treatment of facial bone fractures involving the zygoma and maxilla with Open reduction internal fixation obtains good results both functionally and aesthetically.
Keywords: maxillofacial trauma, head injury, zygoma fracture, maxillary fracture
Edition: Volume 12 Issue 2, February 2023,
Pages: 639 - 644