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Rev Stomatol Chir Maxillofac. 2012 Apr;113(2):104-7. doi: 10.1016/j.stomax.2012.01.005. Epub 2012 Mar 9.

[Zygomatic bone repositioning osteotomies].

[Article in French]

Author information

1
Service d'ORL et de chirurgie maxillo-faciale, hôpital des spécialités, CHU Hassan II, Fès, Maroc. kamaldounia@hotmail.com

Abstract

INTRODUCTION:

The main morphological sequels of zygomatic bone fractures are lack of zygomatic projection and enopthalmia. They may be corrected by zygomatic osteotomy which is a difficult operation because of modified anatomic landmarks. Onlay bone or alloplastic grafts are preferred.

TECHNICAL NOTE:

Zygomatic osteotomies are performed through three surgical approaches: superior palpebral, sub-ciliary, and upper vestibular, followed by repositioning with osteosynthesis micro-plates. They allow reconstruction with an adequate projection in three dimensions. Surgery is usually associated with a bone graft of the orbital floor.

DISCUSSION:

Zygomatic osteotomy is a simple, reproducible technique, but it requires a good bone exposure. The esthetic results are satisfactory with an uneventful outcome. This surgical procedure is a good alternative to isolated techniques of autologous bone grafting or alloplastic material reconstruction which have sometimes disappointing and short lasting results due to graft resorption.

PMID:
22405952
DOI:
10.1016/j.stomax.2012.01.005
[Indexed for MEDLINE]
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