Yeungnam Univ J Med.  1996 Jun;13(1):22-31. 10.12701/yujm.1996.13.1.22.

Correction of Malunited Fracture of Zygoma Through Limited Incisions

• Kim YH
• Kim SH
• Sel JH
• Lee KH

• KMID: 2320355
• DOI: http://doi.org/10.12701/yujm.1996.13.1.22

Abstract

It is difficult to get a satisfactoryresult for the correction of malunited fracture of zygoma. Triple osteotomy and reposition of malunited zygoma is accepted as the better surgical method than camouflage surgery by means of onlays, if the orbital floor is to be reconstructed. The surgical approach can be divided into bicoronal, periorbital, intraoral and old scar. In 7 patients with malunited fracture of zygoma, the authors used a limited approach through extension of periorbital incision and intraoral incision instead of wide exposure including bicoronal incision. And we performed triple wteotomy and advancement of zygoma complex. The patients were followed for 4.5 months with acceptable result, and this approach was an effective method for the relatively simple tripod typemalunited fracture of zygoma. The authors obtained following conclusions: 1. Preoperative evaluation through thorough measurement of X-rays, investigation of photographs and detail communication with the patients was an important process.

MeSH Terms

Cicatrix
Fractures, Malunited*
Humans
Inlays
Orbit
Osteotomy
Zygoma*