ISSN:
1435-0130
Keywords:
Zygoma fracture
;
Gillies procedure
;
Miniplates
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract This retrospective study demonstrates the late results of 46 patients with an isolated zygomatic fracture and/or dislocation, who have been treated with the Gillies procedure alone or with stabilizing transosseous wires. The post-reduction stable fractures (78%) treated solely with the Gillies procedure have given satisfactory symmetric results in 72% of the patients. The stabilized zygomatic complexes (22%) could, due to the pull of the m. masseter, still rotate around the axis of stabilization and this causes asymmetry in 60% of the cases. Unstable fractures and dislocations, however, need an open reduction and an adequate stabilization with miniplates at the frontozygomatic suture and infraorbital rim. The amount of dislocation on X-ray will not predict the peroperative instability and the late asymmetry of the treated zygoma fracture.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00180323
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