Management of Isolated Orbito-Zygomatic Fractures at the National Center for Odontology and Stomatology Professor Hamady Traore in Mali

Introduction: Orbitozygomatic fractures have a multitude of anatomo-clinical variations, resulting in functional and morphological repercussions. Optimal management helps prevent irreversible sequelae. The objective of this study was to study the epidemiological, clinical, and therapeutic characteristics of isolated orbitozygomatic fractures. Patients and Methods: This was a descriptive cross-sectional study, which took place from January 1, 2022 to December 31, 2022. It concerned all cases of isolated orbitozygomatic fractures treated in the department. The data collected were entered and analyzed using SPSS 2.0 software. Results: A total of 24 cases of orbitozygomatic fractures were collected. The male sex was predominant with a sex ratio of 5. The age group of 20 to 30 years was the most affected with 45.8%. Road traffic accidents were the dominant cause (87.4%). Clinical signs were dominated by swelling in 87.4%, conjunctival hemorrhage in 95.8%, suborbital hypoesthesia in 37.5%. The radiological signs observed were a shift in 91.7% of cases. The Zingg type B fracture was the most common (54.3%). Management was mainly surgical (91.3%). Conclusion: Isolated orbitozygomatic fractures are relatively common in maxillofacial trauma, affecting young adult males.