Upper Buccal Sulcus Approach to Reduction of Zygomatic Fractures

Apfelberg, David B.; Lavey, Elliott B.; Maser, Morton R.; Lash, Harvey

doi:10.1097/00005373-197711000-00005

Cited by 11 publications

(7 citation statements)

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“…The transbuccal elevation, originally described by Keen (9), has been reviewed by Apfelberg et al (10) and others (11) who emphasized that this is a fast and simple technique which virtually eliminates the need for open reduction. It can be used as the standard initial method for all types of zygomatic fractures.…”

Section: Discussionmentioning

confidence: 99%

Intra‐oral reduction of zygomatic fractures

Jain

Garg

2016

Dental Traumatology

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Zygomatico-maxillary complex fractures present a challenging diagnostic and reconstructive task to the surgeon. Gillie's temporal approach has been a commonly used technique for zygomatic arch reduction, but surgeons have been commonly using a buccal sulcus approach for the reduction of zygomatic arch fractures as well as for combined zygomatico-maxillary complex fractures. This article outlines the use of Rowe's elevator (modification of Bristow's elevator) intra-orally to reduce zygomatic arch fractures and, if required, simultaneously plate the zygoma through the same approach. A retrospective analysis of 379 patients treated with this technique in the last 10 years has been presented along with a comprehensive treatment protocol including a description of its advantages over the Gillie's approach. Based on the inclusion criteria, the study group consisted of 327 patients. In 281 patients, the zygomatic complex was fractured, whereas 46 patients presented with a solitary zygomatic arch fracture. Two hundred and three cases were successfully treated with the buccal sulcus approach, whereas 124 cases required both the buccal sulcus and the extra-oral lateral orbital approaches. The described approach has advantages over Gillie's temporal approach by being simple, faster and cost-effective, can be performed under local anesthesia, and is more esthetic as it does not leave any scars.

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Section: Discussionmentioning

confidence: 99%

Intra‐oral reduction of zygomatic fractures

Jain

Garg

2016

Dental Traumatology

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“…This little publicized procedure is easy, fast, and effective in carefully chosen cases of zygoma and zygomatic-arch fractures. [13] This method of reduction and fixation is more time consuming than the approach discussed in this study.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the lateral orbital approach in management of zygomatic bone fractures

Thangavelu¹,

Ganesh²,

V³

et al. 2013

J Nat Sc Biol Med

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Zygomatic maxillary fractures, also known as tripod fractures, are usually the result of a direct blow to the body of the zygoma. Tripod fracture consists of (a) zygomatic arch fracture, (b) fracture of the lateral orbital wall, and (c) fracture of the inferior orbital floor. The purpose of this study is to evaluate the functional and esthetic outcome following this lateral orbital approach in the management of zygoma fracture. This study was carried out in VMS Dental College, Salem, and in a private hospital. This study was based on the experience gained from a retrospective study of the 30 lateral orbital approaches that were used in 30 patients with fractures of the zygomatic complex, which were conducted for a period of 8 years between January 2003 and January 2011. In the retrospective study, all the 30 patients were able to open the mouth completely; eyeball movements were normal; esthetically, all patients appeared normal. There were no sinusitis or visual problems in any of the studied patients. We conclude that the lateral orbital approach is an ideal option in reduction and treatment of zygomatic bone and arch fractures.

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“…After 96 hours, the fracture fragments tend to become sticky, and a longer delay may result in a partial consolidation of the fracture segments, necessitating an open reduction or a second surgical approach. 3,6,13 Patients with complex fractures, such as orbital floor fragmentation, severe arch comminution, or other complicated fractures, may need a standard open reduction and internal fixation. 13 Our technique is minimally invasive and offers immediate aesthetic restoration of the facial features and an immediate resumption of mandibular function.…”

Section: Discussionmentioning

confidence: 99%

Intraoral Approach for Aesthetic Restoration of Posttraumatic Zygomatic Arch Deformities

Robiony¹,

Tenani²,

Bellini³

et al. 2012

Journal of Craniofacial Surgery

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Minimally invasive oral and maxillofacial surgery is now being developed for virtually all minor and major oral and maxillofacial surgeries, and developments are now focused on facial trauma surgery. This article assesses the feasibility of reducing isolated zygomatic arch fractures using the intraoral lateral coronoid approach. The procedure is cost-effective and timesaving, as it can be performed under local anesthesia in an emergency department or similar clinical setting and does not need postoperative hospitalization if no other comorbidities are present.

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Upper Buccal Sulcus Approach to Reduction of Zygomatic Fractures

Cited by 11 publications

References 0 publications

Intra‐oral reduction of zygomatic fractures

Intra‐oral reduction of zygomatic fractures

Evaluation of the lateral orbital approach in management of zygomatic bone fractures

Intraoral Approach for Aesthetic Restoration of Posttraumatic Zygomatic Arch Deformities

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