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

Jump To References Section

Authors

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

Keywords:

Infraorbital Approaches, Transconjunctival Approach, Two-point Fixation, Y Modification, Zygomaticomaxillary Complex Fractures
Oral and Maxillofacial Surgery

Abstract

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.

Published

2018-09-18

How to Cite

Ramyadevi, S., Duraisamy, D., Balasubramanian, S., Gopalakrishnan, S., Duraisamy, K., & Rajiah, D. (2018). Single Incision Technique for Two-point Fixation of Zygomaticomaxillary Complex Fractures. Journal of Pierre Fauchard Academy (India Section), 30(3-4), 71–77. Retrieved from https://informaticsjournals.com/index.php/jpfa/article/view/22265

 

References

Zachariades N, Mezitis M, Anagnostopoulos D. Changing trends in the treatment of zygomaticomaxillary complex fractures: a 12-year evaluation of methods used. J Oral Maxillofac Surg. 1998;56:1152–1156. http://dx.doi.org/10.1016/S0278-2391(98)90759-5.

Donald PJ. Zygomatic fractures. In: English GM, ed. Otolaryngology: A Text Book. Hagerstown, MD: Medical Dept, Harper & Row; 1976.

Bourquet J. Les hernies graisseuse de l'orbite: Notre traitment chirurgical. Bull Acad Med. 1924;92:1270.

Tenzel RR, Miller GR. Orbital blow-out fracture repair, conjunctival approach. Am J Ophthalmol. 1971;71:1141.

McCord Jr CD, Moses JL. Exposure of the inferior orbit with fornix incision and lateral canthotomy. Ophthalmic Surg. 1979;10:53–63.

Martinez AY, Bradrick JP. Y modification of the transconjunctival approach for management of zygomaticomaxillary complex fractures: a technical note. J Oral Maxillofac Surg. 2012;70:97–101. http://dx.doi.org/10.1016/j.joms.2011.05.009.

Feldman EM, Bruner TW, Sharabi SE, Koshy JC, Hollier LH. The subtarsal incision: where should it be placed? J Oral Maxillofac Surg. 2011;69:2419–2423. http://dx.doi.org/10.1016/j.joms.2011.02.008.

Couly G, Hureau J, Tessier P. The anatomy of the external palpebral ligament in man. J Maxillofac Surg. 1976;4:195–197.

Holtmann B, Wray RC, Little AG. A randomized comparison of four incisions for orbital fractures. Plast Reconstr Surg. 1981;67:731–735.

Ridgway EB, Chen C, Colakoglu S, et al. The incidence of lower eyelid malposition after facial fracture repair: a retrospective study and meta-analysis comparing subtarsal, subciliary, and transconjunctival incisions. Plast Reconstr Surg. 2009;124:1578.

Wray RC, Holtmann B, Ribaudo JM, Keiter J, Weeks PM. A comparison of conjunctival and subciliary incisions for orbital fractures. Br J Plast Surg. 1977;30:142–145.