Gilles elevation and single point fixation in the treatment of simple zygomaticomaxillary complex fractures– long term follow up clinical study

Dr.Ramasamy Lingappan; Dr.K.Raja

Volume : VII, Issue : I, January - 2018

Gilles elevation and single point fixation in the treatment of simple zygomaticomaxillary complex fractures– long term follow up clinical study

Dr. Ramasamy Lingappan, Dr. K. Raja

Abstract :

Fractures involving the zygoma are among the most common facial fractures. The objective of zygoma fracture repair is to restore preinjury function and appearance. The debate continues as to which of these common fractures can be treated with less invasive methods and which one needs more extensive open reduction and internal fixation to accomplish the desired repair.

This study presents follow up results of 40 patients with fracture zygoma of whom 29 patients were treated with single point fixation at zygomaticomaxillary buttress level. The results show that Gilles elevation and single point fixation gives comparable results to two point fixation in view of aesthetic appearance and functional outcome.

Conclusion: Gillies method of fracture elevation and single point fixation has improved the functional and cosmetic outcome of the patient. Single point fixation shortens the operative time, reduces the cost, reduces the postoperative morbidity and speeds recovery, minimizes the complications and allows early return to normal function.