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Single Transconjunctival Incision and Two-point Fixation for the Treatment of Noncomminuted Zygomatic Complex Fracture
Open accessAbstract
The ultimate goal in treating zygomatic complex fracture is to obtain an accurate, stable reduction while minimizing external scars and functional deformity. The present authors present our experiences with a single transconjunctival incision and two-point (inferior orbital rim and frontozygomatic suture) fixation in 53 patients with zygomatic complex fracture which were not comminuted. All patients had transconjunctival approaches with lateral canthal extensions, and six out of 53 patients also had an additional small (about less than 2 cm) gingivobuccal incision to achieve an accurate reduction. There were 3 minor complications, and the overall esthetics and functional results were satisfactory with a long term follow-up. Our method has the following advantages in the reduction of zygomatic complex fracture; It leaves only an inconspicuous lateral canthal scar. In addition, it provides excellent simultaneous visualization of the inferior orbital rim and frontozygomatic suture area. Hence, two point fixation through a single incision can be performed with a satisfactory stability.
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References 18 · Cited by 31
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Metadata
- Authors
- Lee, P.-K., Lee, J.-H., Choi, Y.-S., Oh, D.-Y., Rhie, J.-W., Han, K.-T., & Ahn, S.-T.
- Affiliations
- Catholic University of Korea (KR)
- Corresponding author
- Lee, Paik-Kwon
- Venue
- Journal of Korean Medical Science
- Publisher
- Korean Academy of Medical Sciences
- Published
- 2006
- Volume
- 21
- Issue
- 6
- Pages
- 1080
- ISSN
- 1011-8934 (ISSN-L)
- PMC
- PMC2721933
- OpenAlex
- W2102748000
- Cited by
- 31
- References
- 18
- Citations by year
- 2026: 1 · 2025: 2 · 2022: 1 · 2021: 1 · 2020: 6 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 1 · 2013: 3 · 2012: 2
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Korean Medical Science (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Facial Trauma and Fracture Management
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone fractures and treatments
- Keywords
- zygomatic complex fractures, transconjunctival incision, two-point fixation, fracture reduction, facial aesthetics, surgical complications
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Bone Plates, Conjunctiva, Female, Fracture Fixation, Internal, Humans, Male, Middle Aged, Osteotomy, Zygomatic Fractures, Treatment Outcome, Minimally Invasive Surgical Procedures
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