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New Aspects

Markus Zingg, MD, DMD; Khalid Chowdhury, MD, FRCSC; Thierry Vuillemin, MD, DMD; Kurt Lädrach, MD, DMD; Franz Sutter, DMD; Joram Raveh, MD, DMD; Dean M. Toriumi, MD; DEAN M. TORIUMI, MD

Arch Otolaryngol Head Neck Surg. 1991;117(6):621-622.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The zygomatic bone projects outward to provide the prominence of the malar region in the aesthetically pleasing face and is susceptible to blunt facial trauma with resultant fracture. Trauma to this region can also result in concomitant fractures of the orbital rim and floor. Management of fractures in this region of the face can be inadequate due to difficult exposure of the fracture site.

Approaches to the lower orbit include the following: (1) the subciliary skin incision with a subtarsal orbicularis muscle flap, (2) skin-only flap, (3) skin-muscle flap, (4) midtarsal or orbital rim incision, and (5) transconjunctival approach. Converse was an advocate of the subciliary approach because of the preservation of the pretarsal orbicularis and superior appearance of the scar.¹ The skin-only flap was popularized in the late 1960s but was soon abandoned due to the high complication rate. This approach was associated with a 38% to 42% . . . [Full Text PDF of this Article]

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