Cited by 0Facial Trauma and Fracture ManagementBone fractures and treatmentsReconstructive Facial Surgery Techniques

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A modified high infraorbital with lateral crow feet extension incision (Punincision) for body of zygoma fractures and zygoma implants: Original research

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Punde, Prashant, Mishra, Nilesh, Joshi, Adhishree, Ramgadiya, Aishwarya·2025·National Journal of Maxillofacial Surgery

Abstract

Objective: To evaluate the effectiveness of the infraorbital incision with lateral crow feet extension to treat fractures present towards the body of zygoma. Materials and Methods: Totally fifteen patients aged from 22 to 69 years diagnosed with fracture line running close to body of zygoma which had been reported to authors between February 2013 and June 2018 were included in this study. Seven patients had low-level frontozygomatic fractures. Eight had fracture lines too lateral to infraorbital foramina. These fractures require longer incisions if conventional approaches are used. New incision design comprising of laterally placed infraorbital incision joined with crow feet extension was used in all these cases. Fracture stabilization was done using 1.5 mm plates in all the cases. Results: The fractures were well reduced and stabilized. The scar was inconspicuous in nature hidden in skin crease in all the cases. Operation time was observed to be less when compared to using surgical records of conventional incision cases. Soft tissue swelling was also found out to be less as compared to conventional incision cases. Conclusion: This modified incision was found to be effective for fractures near the center of body of zygoma in terms of easiness of fracture site exposure and fixation in less time.

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References 7

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Metadata

Authors
Punde, P., Mishra, N., Joshi, A., & Ramgadiya, A.
Affiliations
Department of Oral and Maxillofacial Surgery, School of Dental Sciences, Krishna Vishwa Vidyapeeth, Karad, Maharashtra, India
Corresponding author
Punde, Prashant
Venue
National Journal of Maxillofacial Surgery
Published
2025-01
Volume
16
Issue
1
Pages
71-76
ISSN
  • 0975-5950 (ISSN-L)
  • 2229-3418
OpenAlex
W4409887822
Cited by
0
References
7
FWCI
0.00
Type
journal article
Language
en
Open access
Locations
  • National Journal of Maxillofacial Surgery (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Facial Trauma and Fracture Management
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone fractures and treatments
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
Keywords
zygomatic fractures, incision design, fracture fixation, plate fixation, postoperative scar, soft tissue swelling, operative time

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CoChat. (2026). Citation check: A modified high infraorbital with lateral crow feet extension incision (Punincision) for body of zygoma fractures and zygoma implants: Original research. https://app.cochat.ai/papers/10.4103/njms.njms_31_23
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Punde, P., Mishra, N., Joshi, A., & Ramgadiya, A. (2025). A modified high infraorbital with lateral crow feet extension incision (Punincision) for body of zygoma fractures and zygoma implants: Original research. National Journal of Maxillofacial Surgery. https://doi.org/10.4103/njms.njms_31_23