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European Journal of Plastic Surgery

, Volume 19, Issue 6, pp 300–306 | Cite as

The Gillies procedure in the treatment of zygomatic fractures and dislocations

  • F. B. Niessen
  • D. B. van Egmond
  • T. F.J.M. Specken
  • M. P. Carpentier Alting
Originals

Abstract

This retrospective study demonstrates the late results of 46 patients with an isolated zygomatic fracture and/or dislocation, who have been treated with the Gillies procedure alone or with stabilizing transosseous wires. The post-reduction stable fractures (78%) treated solely with the Gillies procedure have given satisfactory symmetric results in 72% of the patients. The stabilized zygomatic complexes (22%) could, due to the pull of the m. masseter, still rotate around the axis of stabilization and this causes asymmetry in 60% of the cases. Unstable fractures and dislocations, however, need an open reduction and an adequate stabilization with miniplates at the frontozygomatic suture and infraorbital rim. The amount of dislocation on X-ray will not predict the peroperative instability and the late asymmetry of the treated zygoma fracture.

Key words

Zygoma fracture Gillies procedure Miniplates 

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Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • F. B. Niessen
    • 1
  • D. B. van Egmond
    • 1
  • T. F.J.M. Specken
    • 1
  • M. P. Carpentier Alting
    • 1
  1. 1.Department of Plastic SurgerySt. Antonius HospitalNieuwegeinThe Netherlands

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