Single Incision Technique for Two-point Fixation of Zygomaticomaxillary Complex Fractures


  • Tamilnadu Government Dental College and Hospital, Department of Oral and Maxillofacial Surgery, Chennai, Tamilnadu, India
  • Madras Medical College and Hospital, Department of Plastic Surgery, Chennai, Tamilnadu, India
  • Government Stanley Medical College and Hospital, Department of Dental Surgery, Chennai, Tamilnadu, India


Objective: The aim of this study is to discuss the Y modification of transconjunctival approach in the management of zygomaticomaxillary complex (ZMC) fractures.

Study design: 10 patients with unilateral ZMC fractures were included in this study. All patients were treated by two-point fixation through single incision by the Y modification of trans- conjunctival approach. The average follow up period was 6 months. The adequacy of expo- sure, cosmetic outcomes, intraoperative, and postoperative complications were evaluated.

Results: The exposure was excellent in all patients with good cosmetic outcomes. None of the patient had any intraoperative complications; postoperatively, one patient had mild displacement of lateral canthus and other had mild hyperpigmentation of scar.

Conclusion: The transconjunctival Y modification is a relatively new technique and provides excellent exposure and good esthetics. Yet, studies on large cohort needed to use this approach in the routine management of ZMC fractures.


Infraorbital Approaches, Transconjunctival Approach, Two-point Fixation, Y Modification, Zygomaticomaxillary Complex Fractures

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