Single transconjunctival incision and two-point fixation for the treatment of noncomminuted zygomatic complex fracture.
The ultimate goal in treating zygomatic complex fracture is to obtain an accurate, stable reduction while minimizing external scars and functional deformity. The present authors present our experiences with a single transconjunctival incision and two-point (inferior orbital rim and frontozygomatic suture) fixation in 53 patients with zygomatic complex fracture which were not comminuted. All patients had transconjunctival approaches with lateral canthal extensions, and six out of 53 patients also had an additional small (about less than 2 cm) gingivobuccal incision to achieve an accurate reduction. There were 3 minor complications, and the overall esthetics and functional results were satisfactory with a long term follow-up. Our method has the following advantages in the reduction of zygomatic complex fracture; It leaves only an inconspicuous lateral canthal scar. In addition, it provides excellent simultaneous visualization of the inferior orbital rim and frontozygomatic suture area. Hence, two point fixation through a single incision can be performed with a satisfactory stability.
Lee
Paik-Kwon
PK
Department of Plastic Surgery, The Catholic University of Korea College of Medicine, Seocho-Gu, Seoul, Korea. pklee@catholic.ac.kr
Lee
Jung-Ho
JH
Choi
Yoon-Seok
YS
Oh
Deuk-Young
DY
Rhie
Jong-Won
JW
Han
Ki-Taik
KT
Ahn
Sang-Tae
ST
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D003228:Conjunctiva / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D010027:Osteotomy / Q000295:instrumentation* / Q000379:methods*; D016896:Treatment Outcome; D015051:Zygomatic Fractures / Q000601:surgery*