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The Zygomatic Arch as a Guide to Reconstruction of Comminuted Malar Fractures
Robert B. Stanley, Jr, MD, DDS
Arch Otolaryngol Head Neck Surg. 1989;115(12):1459-1462.
Abstract
Traditional three-point reduction may not restore proper projection of the malar prominence following a fracture dislocation of the zygoma if two of the three anterior points of realignment are comminuted. In such cases, reconstruction of the fourth or posterior projection, the zygomatic arch, increases the accuracy of the multidimensional reconstruction. Although the extended access approach required to repair the arch increases operative time and possibly length of hospitalization, its use is justified by the improved results in selected patients with severe injuries of the zygoma.
(Arch Otolaryngol Head Neck Surg. 1989;115:1459-1462)
Author Affiliations
From the Department of Otolaryngology–Head and Neck Surgery, University of Southern California School of Medicine, Los Angeles.
Footnotes
Accepted for publication June 21, 1989.
Presented in part at the second annual meeting of the Paul H. Ward Society, Manhattan Beach, Calif, May 6, 1989.
Reprint requests to Department of Otolaryngology–Head and Neck Surgery, LAC/USC Medical Center, 1200 N State St, Box 795, Los Angeles, CA 90033 (Dr Stanley).
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