Zygomaticomaxillary Complex–Orbit Fracture Alignment: Comparison of Buccal and Orbital Approach Techniques

A study that proposes the use of a sublabial incision without a lower eyelid incision to address zygomaticomaxillary complex fractures involving the orbital rim, is discussed. Zygomaticomaxillary complex (ZMC) fractures are one of the most common fractures seen as a result of trauma to the midfacial...

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Bibliographic Details
Published inArchives of facial plastic surgery Vol. 20; no. 5; p. 428
Main Authors Shikara, Meryam A, Vakharia, Kalpesh T, Greywoode, Jewel D
Format Journal Article
LanguageEnglish
Published Chicago American Medical Association 01.09.2018
Subjects
Complications
Eyelid
Floors
Fractures
Maxillofacial surgery
Morbidity
Ophthalmology
Otolaryngology
Trauma
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Summary:A study that proposes the use of a sublabial incision without a lower eyelid incision to address zygomaticomaxillary complex fractures involving the orbital rim, is discussed. Zygomaticomaxillary complex (ZMC) fractures are one of the most common fractures seen as a result of trauma to the midfacial region. Fracture patterns in this area often involve the inferior orbital rim (IOR) and the orbital floor (OF). Traditionally, the maxillary fractures are accessed via sublabial incisions, and the periorbital fractures are accessed via eyelid incisions. However, in cases that do not involve the orbital floor but do involve the orbital rim, using a transconjunctival approach or a transcutaneous eyelid incision may place the lower eyelid structures at risk for potential complications. We propose the use of a sublabial incision without a lower eyelid incision to address ZMC fractures involving the orbital rim. We believe that this is an effective alternative which avoids unwanted complications involving the orbit and minimizes morbidity.
ISSN:2168-6076
2168-6092