A modified high infraorbital with lateral crow feet extension incision (Punincision) for body of zygoma fractures and zygoma implants: Original research.

Abstract

Objective: To evaluate the effectiveness of the infraorbital incision with lateral crow feet extension to treat fractures present towards the body of zygoma.

Materials and methods: Totally fifteen patients aged from 22 to 69 years diagnosed with fracture line running close to body of zygoma which had been reported to authors between February 2013 and June 2018 were included in this study. Seven patients had low-level frontozygomatic fractures. Eight had fracture lines too lateral to infraorbital foramina. These fractures require longer incisions if conventional approaches are used. New incision design comprising of laterally placed infraorbital incision joined with crow feet extension was used in all these cases. Fracture stabilization was done using 1.5 mm plates in all the cases.

Results: The fractures were well reduced and stabilized. The scar was inconspicuous in nature hidden in skin crease in all the cases. Operation time was observed to be less when compared to using surgical records of conventional incision cases. Soft tissue swelling was also found out to be less as compared to conventional incision cases.

Conclusion: This modified incision was found to be effective for fractures near the center of body of zygoma in terms of easiness of fracture site exposure and fixation in less time.