Upper buccal sulcus approach to management of fractures of the zygomatic complex: a retrospective study of 50 cases

A retrospective study was conducted of 50 consecutive cases of fractures of the zygomatic complex reduced by the upper buccal sulcus approach. All wer e treated successfully with simple elevation (n=38), elevation with intraor al plating at the zygomatic buttress (n=8), or extraoral placement of bone plates (n=4). In no case was the approach deemed unsuitable, or abandoned i n favour of another technique. There was minimal morbidity (one case each o f mild diplopia, trismus, and swelling, all of which settled spontaneously) . The upper buccal sulcus approach is a safe, rapid and effective technique for the reduction of zygomatic body and arch fractures.