Zygomatic fractures: reduction with the T-bar screw

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic Surgery
• Trauma Surgery

Background:

• Zygomatic bone fractures are common, often resulting in significant cosmetic and functional deformities.
• Displacement typically occurs inferomedially and posteriorly, leading to malar prominence loss and orbital asymmetry.
• Potential complications include ocular dysfunction, maxillary antral issues, and mandibular malocclusion.

Observation:

• This clinical study analyzed 30 cases of zygomatic complex fractures.
• The study focuses on the surgical reduction of displaced zygomatic fractures.
• The T-bar (Carroll-Girard) screw was the preferred reduction method.

Findings:

• The T-bar screw facilitates effective reduction of zygomatic complex fractures.
• Anatomical schematics and clinical cases illustrate the surgical technique.
• Case summaries demonstrate successful outcomes using the T-bar screw.

Implications:

• The T-bar screw offers a reliable surgical option for zygomatic fracture repair.
• Restoration of facial aesthetics and function is achievable with this technique.
• This study contributes to the understanding of zygomatic fracture management.