ENDOSCOPIC OSTEOSYNTHESIS OF ZYGOMATIC FRACTURES USING MINIMAL-ACCESSINCISIONS

Endoscopically assisted osteosynthesis of zygomatic fractures was perf ormed on 28 patients, The procedure involved miniplate fixation of the frontozygcmatic fracture through two small temporal incisions in the hair-bearing area, with an additional incision 5 mm in length at the l ateral brow for percutaneous drilling and screwing. Reduction of the d isplaced zygomatic body was carried out using an elevator through a sm all upper buccal sulcus incision. Fixation of the zygomaticomaxillary fracture was also performed directly through the buccal incision. The favourable results demonstrated that these minimal-access procedures a llow endoscopic minimally invasive plate fixation of zygomatic fractur es and reduce facial scarring.