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Craniomaxillofacial Trauma & Reconstruction is published by MDPI from Volume 18 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Sage.
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Article

Differences Between Patient and Surgeon Perspectives: A Long-Term Follow-Up of 180 Patients with Zygomaticomaxillary Complex Fractures Following Either Conservative or Surgical Treatment

by
Samin Rahbin
1,2,*,
Ola Sunnergren
3,4,
Ellen McBride
1,2,
Hatef Darabi
5 and
Babak Alinasab
1,2
1
Division of ENT Diseases, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Karolinska vägen, 171 77 Stockholm, Sweden
2
Department of ENT Diseases, Karolinska University Hospital, Stockholm, Sweden
3
Ear, Nose and Throat Clinic, Region Jönköping County, Jönköping, Sweden
4
Centre for Oral Health, Department of Odontology and Oral Health, School of Health and Welfare, Jönköping University, Jönköping, Sweden
5
The Public Health Agency of Sweden, Stockholm, Sweden
*
Author to whom correspondence should be addressed.
Craniomaxillofac. Trauma Reconstr. 2024, 17(4), 39; https://doi.org/10.1177/19433875231208463
Submission received: 1 November 2022 / Revised: 1 December 2022 / Accepted: 1 January 2023 / Published: 27 October 2023
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Abstract

Study Design: Retrospective with follow-up. Objective: This study described the long-term outcomes of patients who received either conservative or surgical treatment for zygomaticomaxillary complex (ZMC) fractures. It accounted for the perspectives of both patients and surgeons, and explored factors associated with patient satisfaction. Methods: Patients with unilateral ZMC fractures 2007–2018 were invited to follow-up clinical examinations and photographic documentation. Patient experiences were recorded using a questionnaire. A review panel assessed computed tomography (CT) scans and photographs. Patient and surgeon perspectives of detecting functional sequelae were assessed, and a correlation matrix was used to evaluate different perspectives of perceiving malar asymmetry. Results: The study sample consisted of 180 patients, of which conservative treatment was given to 43 patients and surgical treatment to 137 patients. Median follow-up time was 72.5 months after trauma. Overall satisfaction was 92.8%, with no significant difference between treatment groups. Patients and surgeons showed marked differences in detecting functional sequelae. Predicted malar asymmetry on CT scans did not correlate to findings on photographs or reports by patients. Conclusions: A predicted sunken cheek on CT imaging does not necessarily lead to long-term visible asymmetry of the malar region. Surgeons should acknowledge different perspectives when predicting and assessing long-term sequelae of ZMC fractures, and seek consensus on when to perform surgical reconstructions.
Keywords: malar asymmetry; facial asymmetry; patient satisfaction; zygomatic fracture; ZMC; conservative or surgical treatment malar asymmetry; facial asymmetry; patient satisfaction; zygomatic fracture; ZMC; conservative or surgical treatment

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MDPI and ACS Style

Rahbin, S.; Sunnergren, O.; McBride, E.; Darabi, H.; Alinasab, B. Differences Between Patient and Surgeon Perspectives: A Long-Term Follow-Up of 180 Patients with Zygomaticomaxillary Complex Fractures Following Either Conservative or Surgical Treatment. Craniomaxillofac. Trauma Reconstr. 2024, 17, 39. https://doi.org/10.1177/19433875231208463

AMA Style

Rahbin S, Sunnergren O, McBride E, Darabi H, Alinasab B. Differences Between Patient and Surgeon Perspectives: A Long-Term Follow-Up of 180 Patients with Zygomaticomaxillary Complex Fractures Following Either Conservative or Surgical Treatment. Craniomaxillofacial Trauma & Reconstruction. 2024; 17(4):39. https://doi.org/10.1177/19433875231208463

Chicago/Turabian Style

Rahbin, Samin, Ola Sunnergren, Ellen McBride, Hatef Darabi, and Babak Alinasab. 2024. "Differences Between Patient and Surgeon Perspectives: A Long-Term Follow-Up of 180 Patients with Zygomaticomaxillary Complex Fractures Following Either Conservative or Surgical Treatment" Craniomaxillofacial Trauma & Reconstruction 17, no. 4: 39. https://doi.org/10.1177/19433875231208463

APA Style

Rahbin, S., Sunnergren, O., McBride, E., Darabi, H., & Alinasab, B. (2024). Differences Between Patient and Surgeon Perspectives: A Long-Term Follow-Up of 180 Patients with Zygomaticomaxillary Complex Fractures Following Either Conservative or Surgical Treatment. Craniomaxillofacial Trauma & Reconstruction, 17(4), 39. https://doi.org/10.1177/19433875231208463

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