Management of Zygomatic Complex Fracture
1. Unilateral epistaxis
2. Subconjuntival hemorrhage
3. Periorbital ecchymoses
6. Flattening of the face
7. Anaesthesia & parasthesia of the zygomatic buttress
1. If en block fracture- reduction only by Bristow’s elevator.
• L.A is given
• An incision of 2 cm is given over the hair line of the temporal area & gap creation between temporalis muscle & fascia.
• Bristow’s elevator is introduced downwards& outwards slowly & gradually. Most of the cases zygomatic bone is replaced in the position with a snap sound.
2. If the procedure fails or, gross fracture then internal fixation by transosseous wiring . Incision- lateral eyebrow & infraorbital.