title: The versatility of lower eyelid blepharoplasty incision: In open reduction and fixation of zygomatic complex injuries.
abstract: BACKGROUND
  A ZYGOMATIC COMPLEX FRACTURE INCLUDES DISRUPTION OF THE FOUR ARTICULATING SUTURES: zygomaticofrontal, zygomaticotemporal, zygomaticomaxillary and zygomaticosphenoidal sutures. All zygomatic complex fractures involve the orbital floor and therefore an understanding of orbital anatomic features is essential for those treating these injuries.
  
  
  OBJECTIVE
  To analyze the efficacy and shortcomings of this approach. To evaluate the adequacy, role of tarsorrhaphy, difficulties, role of steroid in postoperative edema control in lower lid blepharoplasty approach.
  
  
  METHODS
  A total number of six patients were included in this study and all the patients were treated surgically under general anesthesia. All the patients were approached through lower eyelid blepharoplasty incision. The first skin crease in the lower eyelid region is selected for this incision.
  
  
  RESULTS
  All patients were administered with steroid injection. Frost sutures were placed in four cases and tarsorrhaphy was done in two patients. Three cases encountered immediate mild edema and immediate scar formation. Late scar was present only in two patients with a follow up of three months.
  
  
  CONCLUSIONS
  Lower eyelid blepharoplasty incision is an excellent, non complicated, simple procedure in the management of fractures in the infraorbital region, orbital floor, which occurs as a part of zygomatic complex fractures.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Best Dental College, Madurai, India.
authors.forename: V S R
authors.initials: VS
authors.lastname: Chandran
authors.forename: R
authors.initials: R
authors.lastname: Candamourty
authors.forename: A
authors.initials: A
authors.lastname: Thangavelu