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Minimal Incisions for Treating Zygomatic Complex Fractures

Zhang, Qing-Bin MD*; Dong, Yao-Jun DDS; Li, Zu-Bing DDS, MD; Zhao, Ji-Hong DDS

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1460-1462
doi: 10.1097/SCS.0b013e31821d1832
Technical Strategies

Objective: The objective was to study the clinical application and effects of minimal incisions for treating zygomatic complex (ZMC) fractures.

Methods: A retrospective study was conducted on the 155 patients who underwent reduction of surgical injury by minimal incision for treating ZMC fractures.

Results: The outcomes after treatment were satisfactory functionally and aesthetically in most patients. The clinical results were good in 150 patients. No obvious scars were noticed in all the patients. After a follow-up of average 18 months, zygomatic asymmetry was present in 2 cases, numbness in the infraorbital area in 2 cases, and limitation of mouth opening in 1 patient. Plate removal was conducted in 3 patients.

Conclusions: Repositioning of ZMC fractures via minimal incisions can get satisfactory results. With this kind of approach, the surgical injury can be reduced, and clear field of operation, convenient manipulation, less bleeding, high accuracy of reduction, and inconspicuous scar can be achieved as well. It is an ideal method and deserves to be recommended in clinical procedures.

From the *Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guangzhou Medical College, Guangzhou City, Guangdong Province; and †Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan City, Hubei Province, People's Republic of China.

Received September 25, 2010.

Accepted for publication January 23, 2011.

Address correspondence and reprint requests to Qing-Bin Zhang, MD, Department of Oral and Maxillofacial Surgery Hospital of Stomatology Guangzhou Medical College, 39 Huangsha Rd, Liwan District, Guangzhou City, Guangdong Province, People's Republic of China; E-mail:;

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD