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The Gillies procedure in the treatment of zygomatic fractures and dislocations

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.

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Correspondence to F. B. Niessen M.D..

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Niessen, F.B., van Egmond, D.B., Specken, T.F. et al. The Gillies procedure in the treatment of zygomatic fractures and dislocations. Eur J Plast Surg 19, 300–306 (1996). https://doi.org/10.1007/BF00180323

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Key words

  • Zygoma fracture
  • Gillies procedure
  • Miniplates