Fracture-Dislocations of Zygoma and Zygomatic Arch: Historical Development of Surgical Treatment

Reconstruction of the Zygomatic Arch in the Fracture of the Zygomatic-Orbital Complex by Coronal Access with Preauricular Extension: Case Report

“…Fractures of the zygomatic-orbital complex, despite being the second most frequent, second only to nasal fractures, is still a great challenge for oral and maxillofacial surgeons due to its anatomy and structure that maintains an intimate connection with several structures of the face that are these fractures not properly treated, several future complications can occur [2,3,9,10].…”

“…In the case reported, we chose to follow the treatment from the most conservative to the least conservative as indicated in the literature [1,3,7,8]. Therefore, we used the Keen technique where the fracture is reduced using a blunt instrument positioned on the face posterior of the zygomatic bone with movements in the opposite direction to the displacement of the fragments.…”

“…When fractures of this complex occur, the Oral and Maxillofacial Surgeon must be attentive to clinical and radiographic signs to achieve an accurate and rapid diagnosis. After that, treatment planning is essential to have an excellent prognosis [2,3].…”

“…Rigid internal fixation, which of fixation through the use of miniplates and screws, can be done in zygomatic abutments, frontozygomatic suture and infraorbital margin. Among the various options and different prognoses, it is important to show clinical case reports that demonstrate the success of the treatment for fixation of zygomatic arch fractures [3,4,5,9].…”

The use of the Foley balloon catheter in the tripod fracture

“…Review of literature 'During the past 200 years at least 23 methods and 24 instruments have been introduced for the surgical treatment of fracture dislocation of the zygoma and zygomatic arch. The past ten years have recorded nearly one new method each year'; so conclude Smith and Yanigasawa (1961) in a comprehensive historical review of these fractures.…”