The placement of screws above the zygomaticofrontal suture

Zide, Michael F.; Wu, Jeffrey H.

doi:10.1016/0278-2391(90)90339-4

Cited by 11 publications

(6 citation statements)

References 3 publications

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“…The location of the ZFF is also important during the stabilization of the zygomatic fractures involving the placement of screws above the zygomaticofrontal suture (Zide and Wu, 1990). Martins et al (2003) described that the ZFF located 2.5 cm from the midpoint of the zygomaticofrontal suture and 0.7 cm from the inferolateral orbital rim (the closest inferolateral orbital angle from the main ZFF center).…”

Section: Discussionmentioning

confidence: 99%

Location and incidence of the zygomaticofacial foramen: An anatomic study

et al. 2009

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The location and incidence of the zygomaticofacial foramen (ZFF) was studied in 80 dry skulls (160 sides) of unsexed adult skulls of West Anatolian people. The average distances from the ZFF to the frontozygomatic suture, to the zygomaticomaxillary suture, and to the inferior orbital rim were found to be 26.2 +/- 3.2 mm, 18.6 +/- 3.14 mm, and 5.94 +/- 1.43 mm, respectively. The zygomas were evaluated for the number of foramina on their facial aspects. There was none in 25 (15.6%), one in 71 (44.4%), two in 45 (28.1%), three in 10 (6.3%), four in seven (4.4%), and five in two (1.3%) sides. The ZFF was also studied for its distribution around the zygoma by dividing the surface into four anatomical areas. There was no statistical difference between the morphometrical results on both sides. Data regarding the location and variation in the number of the ZFF is important in avoiding zygomatic nerve and vessel injury during surgery, but by virtue of the great variability found, ZFF is an unreliable landmark for maxillofacial surgery.

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Section: Discussionmentioning

confidence: 99%

Location and incidence of the zygomaticofacial foramen: An anatomic study

et al. 2009

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“…However, the incidence of multiple foramina may decrease its usefulness as a reliable landmark (Martins et al ., 2003). The location of the ZF foramen is also important during the stabilization of zygomatic fractures involving the placement of screws above the zygomaticofrontal suture (Zide & Wu, 1990). Care must be taken to avoid placing screws close to or potentially into the ZF foramen, damaging this nerve.…”

Section: Discussionmentioning

confidence: 99%

Zygomaticofacial, zygomaticoorbital and zygomaticotemporal foramina: Anatomical study

et al. 2008

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The zygomatic nerve may be disrupted when elevating periorbita from the lateral wall during orbital surgery, and care should be taken to prevent injury to this nerve during lateral orbitotomy approaches to access intraorbital soft-tissue tumors. Furthermore, the precise introduction of anesthetics to the zygomaticoorbital (ZO), zygomaticofacial (ZF) and zygomaticotemporal (ZT) foramina could be important data for the plastic and reconstructive surgeon operating in the area. The aim of the present study was to investigate the morphologic and topographic anatomy, and variations of the ZO, ZF and ZT. The present study was performed using 200 dry human skulls. The ZF, ZO and ZT foramina varied from being absent to as many as four small openings. We classified each of these foramina as types I-V for single, double, triple, quadruple and absent foramina, respectively. The relative frequency was as follows: type I, ZO 50%, ZF 40%, ZT 30%; type II, ZO 20%, ZF 15%, ZT 15%; type III, ZO 10%, ZF 5%, ZT 5%; type IV, ZO 3%, ZF 1%, ZT-; and type V, ZO 17%, ZF 39%, ZT 50%. A detailed knowledge of the anatomic morphometry of this area is necessary for a surgeon when performing maxillofacial surgery and regional block anesthesia. Anatomic variations in this area may be present and a surgeon must take this into consideration so as to increase surgical success.

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“…Similarly, the surgeon can potentially place screws close to or even into the zygomaticofacial foramen during posttraumatic maxillofacial reconstruction, damaging this nerve (Zide and Wu, 1990).…”

Section: To the Editor Clinical Anatomymentioning

confidence: 99%