After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S.M.Balaji diagnosed fractured and malunited right body of zygoma. This led to facial asymmetry. To avoid scar formation, intraorally through sulcular incision wrongly united zygoma was exposed, refractured, elevated and fixed using 4 hole titanium bone plate. This improved his appearance dramatically. Patient was very happy to have fractured facial bone fixation without any surgical marks.
Fixation of 6 months old malunited fracture of right cheek bone intraorally to avoid scar formation2/3/2015 A 20 year old boy came to our hospital with the complaint of fractured facial bone on the right side due to vehicular accident 6 months back. He was complaining of facial asymmetry due to posterior displacement of fractured cheek bone. After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S.M.Balaji diagnosed fractured and malunited right body of zygoma. This led to facial asymmetry. To avoid scar formation, intraorally through sulcular incision wrongly united zygoma was exposed, refractured, elevated and fixed using 4 hole titanium bone plate. This improved his appearance dramatically. Patient was very happy to have fractured facial bone fixation without any surgical marks. This is a case of multiple facial bone fracture due to road traffic vehicular accident happened 5 months back. The patient had first aid treatment and fractured bone stabilization at nearby hospital elsewhere. But he was not happy with the surgical outcome where left eye was at a lower level compared to the right side. He was not able to bite properly which made him very uncomfortable. On examination, facial appearance was completely changed and he was not able to bite properly due to improperly united maxillary and Mandibular fracture segments. Left Mandibular canine and lateral incisor teeth were fractured and canine crown was displaced in between the fracture margins of the mandible which was not removed in the previous surgery done elsewhere. After thorough clinical and radiological examination, Maxillofacial surgeon Dr. S. M. Balaji diagnosed that his left lateral orbital rim and zygomatic arch were fractured and laterally displaced. Maxilla and mandible also were fractured and wrongly united which led to improper bite. Dr. Balaji planned to correct his facial appearance and bite in a single surgery. Intraorally the impacted canine crown was removed along with the fractured lateral incisor and replaced with dental implants. Both upper and lower jaw stabilized and fixed in proper occlusion. Lateral orbital rim was also brought medially by intraocular incision and floor of the orbit was raised using titanium mesh. Thus the fractured facial bones were corrected in such a way that gave an improved appearance without any visible scars on his face. A 20 year old boy came to our hospital with the complaint of fractured facial bone on the right side due to vehicular accident. He was complaining of facial asymmetry due to medial displacement of fractured cheek bone.
After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S.M.Balaji diagnosed fractured right body of zygoma with medial displacement. This led to facial asymmetry. To avoid scar formation, intraorally through sulcular incision fractured zygoma was exposed, elevated and fixed using 4 hole titanium bone plate. This improved his appearance dramatically. Patient was very happy to have fractured facial bone fixation without any surgical marks. |
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