Zygomatic sagittal split osteotomy: a novel and simple surgical technique for use in midface corrections.
BACKGROUND
The correction of many craniofacial malformations requires the improvement and stabilization of the midface area. In this article, we present a simple surgical technique for improving and correcting the orbitozygomatic area. This technique is called zygomatic sagittal split osteotomy (ZSSO).


METHODS
Between September 2003 and June 2008, we performed ZSSO on 12 patients. The technique is described in the article. We performed a clinical evaluation of the technique using the following criteria: postsurgical complications, loss of stability, and sagittal prominence. In addition, a radiologic evaluation was performed on axial computed tomographic images. We considered a 1-year follow-up.


RESULTS
We performed 15 ZSSO procedures. No evidence of postsurgical complications, loss of stability, or sagittal prominence was reported during the 1-year follow-up.


CONCLUSIONS
Zygomatic sagittal split osteotomy is a simple surgical technique to be used in the correction and stabilization of the midface area. It can be performed without using graft or osteodistraction device.
Maxillo-Facial Surgery, Complesso Integrato Columbus, Catholic University Medical School, Rome, Italy. giulio.gasparini@rm.unicatt.it
Giulio
G
Gasparini
Gianmarco
G
Saponaro
Alessandro
A
Moro
Roberto
R
Boniello
Daniele
D
Cervelli
Sandro
S
Pelo
D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D002648:Child; D019465:Craniofacial Abnormalities / Q000601:surgery; D005147:Facial Bones / Q000293:injuries / Q000601:surgery*; D005151:Facial Injuries / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D017759:Fractures, Malunited / Q000601:surgery; D005624:Frontal Bone / Q000601:surgery; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008437:Maxilla / Q000601:surgery; D009915:Orbit / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D019340:Osteotomy, Le Fort / Q000379:methods; D011183:Postoperative Complications; D012887:Skull Fractures / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult; D015050:Zygoma / Q000601:surgery*