Upper buccal sulcus approach to reduction of zygomatic fractures

Thirty selected patients with simple zygoma fractures over a 15-year period have been treated by elevation and reduction with the use of a zymgomatic elevator from an intraoral upper buccal sulcus approach. No patient suffered a recurrence of the fracture of deformity or required an open reduction. This little publicized procedure is easy, fast, and effective in carefully chosen cases of zygoma and zygomatic arch fractures in the first 72-96 hours postinjury. It should be considered by the surgeon along with the more complex procedures.