Repair of zygomaticomalar complex fractures. The Swiss method

Area of Science:

• Plastic Surgery
• Oral and Maxillofacial Surgery
• Anatomy

Background:

• Zygomaticomalar complex fractures, also termed trimalar, tripod, or tetrapod fractures, are frequently treated by facial plastic surgeons.
• Inadequate reduction can result in significant complications, including facial asymmetry, trismus, diplopia, enophthalmos, and parasthesias.

Purpose of the Study:

• To present an optimized surgical technique for zygomaticomalar complex fracture reduction and fixation.
• To enhance functional and aesthetic outcomes in patients with these fractures.

Main Methods:

• Review of established surgical approaches: transconjunctival lateral canthotomy, subciliary blepharoplasty, brow, gingivobuccal, and coronal incisions.
• Internal fixation using miniplates and microplates across reduced fracture lines to counteract rotational and distracting forces.
• Application of novel concepts within the framework of medial and lateral buttress reconstruction.

Main Results:

• The described method integrates standard techniques with innovative elements for zygomaticomalar complex fracture management.
• Focus on maximizing both functional recovery and aesthetic results.

Conclusions:

• The presented surgical method aims to optimize the treatment of zygomaticomalar complex fractures.
• This approach seeks to minimize complications and improve patient outcomes through meticulous reduction and fixation.