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Zygomaticomaxillary complex fracture : ウィキペディア英語版 | Zygomaticomaxillary complex fracture
The zygomaticomaxillary complex fracture, also known as a quadripod fracture, quadramalar fracture, and formerly referred to as a tripod fracture or trimalar fracture, has four components: the lateral orbital wall (at either the zygomaticofrontal suture or zygomaticosphenoid suture), separation of the maxilla and zygoma along the anterior maxilla (near the zygomaticomaxillary suture), the zygomatic arch, and the orbital floor near the infraorbital canal. The zygomatic arch usually fractures at its weakest point, 1.5 cm behind the zygomaticotemporal suture. ==Cause== The cause is usually a direct blow to malar eminence, or cheek, during assault. The paired zygomas each have two attachments to the cranium, and two attachments to the maxilla, making up the orbital floors and lateral orbital walls. These complexes are referred to as the zygomaticomaxillary complex. The upper and transverse maxillary bone has the zygomaticomaxillary and zygomaticotemporal sutures, while the lateral and vertical maxillary bone has the zygomaticomaxillary and frontozygomatic sutures. 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. There is an association of ZMC fractures with naso-orbito-ethmoidal fractures (NOE) on the same side as the injury. Involvement of the NOE is important because it predicts a higher incidence of post operative deformity.
抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)』 ■ウィキペディアで「Zygomaticomaxillary complex fracture」の詳細全文を読む
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