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Published on: March 1, 2015
[Sphenozygomatic suture as a guide in the reduction of zygomatic fracture]
Wen-gang Li1, Shi-zhou Zhang, Xi-lan Yuan
1Dept. of Oral & Maxillofacial Surgery, Shandong Provincial Hospital, Jinan, 250021, China. wengangli@yahoo.com
Objective:
To investigate the effectiveness of sphenzygomatic suture as a guide in the reduction of zygomatic complex fracture.
Methods:
36 cases of zygomatic complex fracture according to Zingg classification were treated. Reduce sphenozygomatic suture first, then reduce the other fracture line and fixed with titanium micro-plates. Patients were followed up for 4 weeks to 3 months, aesthetic results and X rays symmetry were observed.
Results:
All patients restored satisfactory facial contour, 35 cases got precise reduction, only 1 patients had slightly discontinued zygomatic arch and infraorbital rim.
Conclusion:
During open reduction of zygomatic fracture, reducing sphenozygomatic suture first, combined with other fracture lines will reconstruct zygomatic complex precisely, and got normal aesthetic outcome.

