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Fractures of the zygomatic complex
Summary
This clinical update reviews zygomatic complex fracture diagnosis and treatment, focusing on alternative surgical approaches and current management strategies for acute injuries and malunion deformities.
Area of Science:
- Maxillofacial surgery
- Trauma surgery
Background:
- Zygomatic complex fractures are common facial injuries.
- Diagnosis and treatment methods were previously reviewed in 1973.
- The lateral eyebrow incision was a primary surgical access route.
Purpose of the Study:
- To provide a clinical update on zygomatic complex fracture management.
- To review alternative surgical approaches.
- To discuss current treatment concepts for acute and late deformities.
Main Methods:
- Review of alternative surgical approaches: coronal incision and upper eyelid incision.
- Discussion of current treatment concepts for acute zygomatic complex injuries.
- Analysis of management for late deformities secondary to malunion.
Main Results:
- Alternative surgical approaches offer different access points to the zygomatic complex.
- Current concepts address both immediate fracture repair and correction of long-term deformities.
- Effective management requires consideration of injury timing and resulting malunion.
Conclusions:
- Updated surgical techniques provide versatile access for zygomatic complex fracture treatment.
- Comprehensive management strategies are essential for both acute and chronic sequelae.
- This review highlights advancements in the diagnosis and treatment of zygomatic complex fractures.