Facial plast Surg 2005; 21(3): 165-170
DOI: 10.1055/s-2005-922854
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.

Lag Screw Fixation in Midface Fractures

Edmund A. Pribitkin1 , David M. Cognetti1 , Stephen N. Marshall1 , Jurij Bilyk2
  • 1Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania
  • 2Department of Oculoplastic Surgery, Wills Eye Hospital, Philadelphia, Pennsylvania
Further Information

Publication History

Publication Date:
23 November 2005 (online)


Through analysis of case series from medical record review, this article demonstrates how lag screw fixation may be used to effectively treat obliquely oriented maxillary, zygomatic, and orbital rim fractures. Lag screw fixation of midface fractures has been overshadowed by other readily available plate fixation techniques. Nonetheless, lag screw fixation provides quick, stable, and effective reduction of obliquely oriented maxillary, zygomatic, and orbital fractures without risk of plate exposure and with potentially superior primary osteosynthesis. Lag screw fixation remains an excellent alternative to plate fixation techniques in the repair of appropriate midface fractures.