Outcome of Different Treatment Modalities of Fracture Zygoma.

OBJECTIVES: This study aimed to determine the pattern of fractured zygoma, different treatment modalities, and complications of the treatment in our center. It also aimed to determine the association between the treatment modalities and complication of treatment, and association between number of fixation and complication. METHODOLOGY: A retrospective review was conducted from January 2008 until December 2011. All patients diagnosed with zygomatic complex fractured that met the inclusion and exclusion criteria were included in the study. Zingg's Classification was used in the study. RESULTS: The median age was 23.5. Type A was the most common fracture type made up 26.6%. About 90.8% of the injury was caused by road traffic accident. Forty-four patients were treated with open reduction and internal fixation and 4 patients were treated with close reduction only. Fifty patients were treated conservatively. Gillies approach in combination with fixation is the most common procedure accounted for 50%. Three-point fixation at infraorbital, maxillary buttress, frontozygomatic suture, and zygomatic arch was the most common site. However, there were no significant associations between the number of fixation and the occurrence of the complication (P = 0.307). About 29.2% in the treatment group and 66% in the conservative group had complications. About 35.7% of patients in treatment group had complications, while 66% had trismus in conservative group. CONCLUSION: There was a significant association between types of treatment and the occurrence of complication (P = 0.001). However, there were no significant association between number of fixation and the occurrence of complications (P = 0.307).

The awareness of oral cancer in adult patients attending School of Dental Sciences, Universiti Sains Malaysia: a preliminary study.

OBJECTIVE: Lack of awareness of signs and symptoms and risk factors of oral cancer can lead to late presentation of the disease that contributes to poor survival of patients who contract it. This study aims to determine the level of awareness regarding oral cancer in adult patients attending School of Dental Sciences, Universiti Sains Malaysia. MATERIALS AND METHODS: This was a cross-sectional study in which face-to-face interview of 108 subjects aged 20-65 was conducted. The questionnaire consisted of personnel details and questions regarding awareness of risk factors, complications, signs and symptoms, and prevention of oral cancer. Each response was assigned scores where one (1) mark was given for a correct answer and one (1) mark was subtracted for every wrong answer. The scores were added up to obtain total individual score. RESULTS: Majority of the patients interviewed were from the age range of 20-29. Most of the respondents were Malays with females having a higher percentage (52.8%) than males (47.2%). Majority of the patients (89.9%) were aware regarding the presence of the oral cancer. However, there was no significant association of age range and gender (p > 0.05). 96.7% of subjects who have had higher education were significantly more aware about the presence of oral cancer when compared to those without any schooling (p < 0.05). There was a high awareness of the link between smoking, tobacco chewing, betel nut chewing, and alcohol (93.5%, 85.2%, 75.9%, and 68.5%, respectively) with oral cancer. Almost three-fourth (73%) scored between 10 and 19 out of the maximum of 23 with the mean score of 13.4 (standard deviation, 4.37). All our subjects agreed that early detection of oral cancer could improve chances of successfully treating them. CONCLUSION: There was a moderate level of awareness regarding oral cancer towards its risk factors, complications, signs and symptoms, and prevention of oral cancer.