title: [Zygomatic bone repositioning osteotomies].
abstract: BACKGROUND
  The main morphological sequels of zygomatic bone fractures are lack of zygomatic projection and enopthalmia. They may be corrected by zygomatic osteotomy which is a difficult operation because of modified anatomic landmarks. Onlay bone or alloplastic grafts are preferred.
  
  
  METHODS
  Zygomatic osteotomies are performed through three surgical approaches: superior palpebral, sub-ciliary, and upper vestibular, followed by repositioning with osteosynthesis micro-plates. They allow reconstruction with an adequate projection in three dimensions. Surgery is usually associated with a bone graft of the orbital floor.
  
  
  CONCLUSIONS
  Zygomatic osteotomy is a simple, reproducible technique, but it requires a good bone exposure. The esthetic results are satisfactory with an uneventful outcome. This surgical procedure is a good alternative to isolated techniques of autologous bone grafting or alloplastic material reconstruction which have sometimes disappointing and short lasting results due to graft resorption.
authors.affiliation: Service d'ORL et de chirurgie maxillo-faciale, hôpital des spécialités, CHU Hassan II, Fès, Maroc. kamaldounia@hotmail.com
authors.forename: D
authors.initials: D
authors.lastname: Kamal
authors.forename: N
authors.initials: N
authors.lastname: Froget
authors.forename: P
authors.initials: P
authors.lastname: Breton
authors.forename: J-L
authors.initials: JL
authors.lastname: Beziat
authors.forename: A
authors.initials: A
authors.lastname: Gleizal
mesh_terms: D000328:Adult; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods; D014057:Tomography, X-Ray Computed; D015050:Zygoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D015051:Zygomatic Fractures / Q000000981:diagnostic imaging / Q000601:surgery*