Supratarsal approach to treatment of zygomatic complex fractures
Resumo
Many incisions have been described for approaches to zygomatic fractures. Precise repositioning of zygomatic complex fractures is difficult. The traditional approach is through an eyebrow incision, but it can produce a scar that causes aesthetic and psychological problems for the patient. We describe the supratarsal fold approach to expose the frontozygomatic suture and to reduce small displacements of frontal sinus anterior wall; it gives good access and excellent aesthetic results.Descriptors: Surgery, Oral; Zygoma; Surgical Procedures, Operative.
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Referências
Hammer B. Fraturas orbitárias: diagnóstico, tratamento cirúrgico, correções secundárias. São Paulo:Santos; 2005, 2-5.
Khan AM, Varvares MA. Traditional Approaches to the Orbit. Otolaryngol Clin N Am. 2006; 39: 895–909.
Scolozzi P, Momjian A, Heuberger J, Andersen E, Broome M, Terzic A, Jaques B. Accuracy and predictability in use of AO three-dimensionally preformed titanium mesh plates for posttraumatic orbital reconstruction: a pilot study. J Craniofac Surg. 2009;20(4):1108-13.
Holtmann B, Wray RC, Little AG. A randomized comparison of four incisions for orbital fractures. Plast Reconstr Surg. 1981; 67:731-7.
Kung DS, Kaban LB. Supratarsal fold incision for approach to the superior lateral orbit. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(5):522–5.
Keen WW. Surgery: its principles and practice. Philadelphia: Saunders; 1909.
Gillies HD, Kilner TP, Stone D. Fractures of the malar-zygomatic compound, with a description of a new X-ray position. Br J Surg.1927;14(56):651–6.
Snow RC, Parsons RW. Exposure through coronal incision for initial treatment of facial fractures. Plast Recontr Surg. 1975;56 (3):254–9.
Gaia BF, Landgraf H, Pardo-Kaba SC, Shinohara EH. Access to the frontal sinus and zygomatico frontal suture through the supratarsal fold. Britsh J Oral Maxillofac Surg. 2008; 46(3): 226–8.
Chuong R, Kaban LB. Fractures of the zygomatic complex. J Oral Maxillofac Surg. 1986;44:283–8.
