Abstract
Sixteen cases of zygomatico-maxillary fractures were reduced and fixed surgically. The reduction of dislocated and rotated fractures of the zygomatic part was elevated and corrected simultaneously, which facilitates fixation, using a levator through the lateral aspect of eyebrow incision and by manipulation through the classic Caldwell-Luc approach. The fractured bones of the maxilla were reduced and corrected by manipulation and/or curved instrument. Comminuted fractures of the inferior orbital ridge and maxilla are extremely difficult to fix by malleable miniplate and wire. Fibrin glue, by comparison, simplifies reduction and stabilization. The framework of maxillary sinus was fixed by the antral inflated water balloon technic and supported by fibrin glue. The results in all sixteen cases was good. We demonstrated and discussed this useful method of reducing and fixing zygomatico-maxillary fractures.
