Management of Zygomatic Complex Fracture

March 22, 2012 | By | Reply More

Management of Zygomatic Complex Fracture

Clinical feature:
1. Unilateral epistaxis
2. Subconjuntival hemorrhage
3. Periorbital ecchymoses
4. Diplopia
5. Enopthalmus
6. Flattening of the face
7. Anaesthesia & parasthesia of the zygomatic buttress

After proper initial management, Treatment is done by-

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.

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Category: Dental, Oral Surgery

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