title: Efficacy of two point rigid internal fixation in the management of zygomatic complex fracture.
abstract: OBJECTIVE
  To evaluate the efficacy of two point rigid internal fixation in the immobilization of zygomatic complex fractures.
  
  
  METHODS
  30 patients with zygomatic complex fractures were managed by open reduction and internal fixation using titanium mini bone plate screws at the frontozygomatic and zygomatic buttress region. This prospective study was carried out at the Department of Oral & Maxillofacial Surgery, Armed Forces Medical College (AFMC), Pune, India between 1st August 2005 to 1st August 2007. Isolated unilateral zygomatic complex fractures of less than six weeks duration were included in the study.
  
  
  RESULTS
  Clinically and radiologically satisfactory results were achieved in all 30 patients using two point rigid internal fixation at the frontozygomatic and zygomatic buttress region of zygomatic complex fracture.
  
  
  CONCLUSIONS
  Stable fixation and immobilization of isolated zygomatic complex can be achieved with two point fixation using titanium mini bone plate and screws at the frontozygomatic and zygomatic buttress region of zygomatic complex fracture. Postoperative complications like scarring, ectropion and neurological deficit can be avoided by not using infraorbital rim as the third point of fixation.
authors.affiliation: Oral and Maxillofacial Surgery, INHS Kalyani, Vishakhapatnam, India  ; Oral and Maxillofacial Surgery, INHS Kalyani, Eastern Naval Command, Vishakhapatnam, 530005 Andhra Pradesh India.
authors.forename: Ashish
authors.initials: A
authors.lastname: Chakranarayan
authors.forename: G K
authors.initials: GK
authors.lastname: Thapliyal
authors.forename: R
authors.initials: R
authors.lastname: Sinha
authors.forename: Menon P
authors.initials: MP
authors.lastname: Suresh
keywords: Frontozygomatic suture; Two point fixation; Zygomatic buttress