A 28 year old female met with a Road Traffic Accident. Radiographic and clinical examination exhibited evidence of multiple fractures of facial bones and lacerations. The mandible and zygoma were broken. A non-blow out, tripod fracture with a good orbital volume was observed in the cheek area. The plan of the surgery was to make the mandible in to a single bone, then correct the hollow area of the cheek bone. Lastly, the superficial wounds were to be fixed.
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
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
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