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Open Reduction and Internal Fixation of Zygomaticomaxillary Complex Fracture

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Operative Dictations in Plastic and Reconstructive Surgery

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Abstract

The zygomaticomaxillary complex (ZMC) articulates the facial skeleton at four locations. These include the zygomaticofrontal (ZF) suture, zygomaticotemporal (ZT) suture, zygomaticomaxillary buttress (ZMB), and zygomaticosphenoid (ZS) suture. ZMC fractures are one of the three most common types of facial fractures, and facial trauma can disrupt one or multiple of these articulations (The Journal of Craniofacial Surgery 21:1018–1023, 2010). Because of its importance in facial structure and function, proper reduction and fixation of the ZMC, when indicated, is paramount. Indications for surgical intervention include displacement of the malar complex resulting in functional or cosmetic deformity. Nondisplaced fractures do not typically require surgical intervention. Potential complications include malar malposition, enophthalmos, visual disturbances, and persistent infraorbital nerve paresthesias (Seminars in Plastic Surgery 24:389–397, 2010; Archives of Facial Plastic Surgery 14:62–66, 2012).

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Authors and Affiliations

  1. Michael E. Debakey Department of Surgery, Division of Plastic and Reconstructive Surgery, Baylor College of Medicine, 6701 Fannin St., CC 610.00, Houston, TX, 77030, USA

    Richard Siy M.D., Jesse D. Meaike B.S. & Larry H. Hollier M.D.

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  1. Richard Siy M.D.
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  2. Jesse D. Meaike B.S.
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  3. Larry H. Hollier M.D.
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Corresponding author

Correspondence to Larry H. Hollier M.D. .

Editor information

Editors and Affiliations

  1. DeWitt Daughtry Department of Surge, University of Miami DeWitt Daughtry Department of Surge, Miami, Florida, USA

    Tuan Anh Tran

  2. DeWitt Daughtry Department of Surge, University of Miami DeWitt Daughtry Department of Surge, Miami, Florida, USA

    Zubin J. Panthaki

  3. Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon

    Jamal J. Hoballah

  4. DeWitt Daughtry Department of Surge, University of Miami DeWitt Daughtry Department of Surge, Miami, Florida, USA

    Seth R. Thaller

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Siy, R., Meaike, J.D., Hollier, L.H. (2017). Open Reduction and Internal Fixation of Zygomaticomaxillary Complex Fracture. In: Anh Tran, T., Panthaki, Z., Hoballah, J., Thaller, S. (eds) Operative Dictations in Plastic and Reconstructive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-40631-2_61

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  • DOI: https://doi.org/10.1007/978-3-319-40631-2_61

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40629-9

  • Online ISBN: 978-3-319-40631-2

  • eBook Packages: MedicineMedicine (R0)

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