title: Esthetic positioning of rigid internal fixation in tripod zygomatic fractures: an innovative surgical technique.
abstract: Tripod displaced zygomatic fractures are generally treated with rigid internal fixation at the intraorbital rim (IOR), frontozygomatic (FZ) suture, and zygomaticomaxillary buttress. Intraorbital rim fixation is associated with complaints of poor esthetic results and miniplate intolerance. Although different solutions were previously reported as 2-point fixation or resorbable fixation at the IOR, a 3-point fixation is considered the best choice for maintaining an optimal zygomatic stability after reduction. Consequently, the best goal is to perform a surgical technique that provides a 3-point fixation and avoids the consequence of subjective and objective alterations at the IOR and FZ areas. We propose an innovative technique that proved to be a simple, effective method to eliminate postsurgical sequelae due to rigid internal fixation positioning in the IOR and FZ areas.
authors.affiliation: II Faculty of Medicine and Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Becelli
authors.forename: Davide
authors.initials: D
authors.lastname: Quarato
authors.forename: Giorgio
authors.initials: G
authors.lastname: Matarazzo
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Renzi
authors.forename: Chiara
authors.initials: C
authors.lastname: Dominici
mesh_terms: D001860:Bone Plates; D001863:Bone Screws; D003393:Cranial Sutures / Q000601:surgery; D004954:Esthetics; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D005624:Frontal Bone / Q000601:surgery; D006801:Humans; D008437:Maxilla / Q000601:surgery; D009915:Orbit / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods; D015050:Zygoma / Q000601:surgery; D015051:Zygomatic Fractures / Q000601:surgery*