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Published on: March 1, 2015
[Sphenozygomatic suture as a guide in the reduction of zygomatic fracture]
Wengang Li1, Shizhou Zhang, Xilan Yuan
1Department of Oral and Maxillofacial Surgery, Shandong Provincial Hospital, Jinan 250021, China.
Objective:
To retrospectively investigate the effectiveness of sphenzygomatic suture as a guide in the reduction of zygomatic complex fracture.
Methods:
55 cases of zygomatic complex fracture classified according to Zingg classification were treated, sphenozygomatic suture in group 1 (n = 36) was reduced first, then the other fracture line was reduced, in group 2 (n = 19), malar bone was reduced according to superficial fracture line. Patients were followed up for 4 weeks to 3 months, aesthetic result and X-ray symmetry were observed.
Results:
All patients in group 1 were restored with satisfactory facial contour, 35 cases got precise reduction, 5 cases in group 2 were asymmetry.
Conclusion:
During open reduction of complex zygomatic fracture, sphenozygomatic suture should be reduced at first as a guide, so as to get precise zygomatic complex reconstruction and normal aesthetic outcome.

