During the surgery, the fractured segments were approximated, a temporary Inter- Maxillary Fixation (IMF) was done to achieve harmonious occlusion, and a rigid fixation method using 4mm stainless steel plates was used to fix the fractured area. After this, the temporary IMF was removed.
The step deformity in the cheek bone (Zygoma) was approached using the subciliary incision. The fronto-zygomatic sutural area was identified. Using appropriate elevators, the fractured zygoma bone were elevated and approximated. The step deformity in the infraorbital rim was approximated through the subciliary incision. Trans-osseous wiring was employed to keep the approximated bones in place. The step like deformity was corrected. Using a 6-0- Ethilon suture, the superficial wounds were closed in layers. This ensured minimal scarring by about 6 to 8 weeks