Fractures of the orbitozygomatic complex represent one of the most common injuries
of the facial skeleton. Repair of the fractures often requires multiple surgical access
points and the necessity for skin incisions. As surgeons attuned to aesthetics, we
strive to minimize the signs of injury and treatment. We propose an approach designed
to treat orbitozygomatic fractures without the use of skin incisions. The objective
of this article is to outline the surgical technique designed by the senior author
(PRL) to address the zygomatico-frontal fracture component of orbitozygomatic complex
fractures through an upper lid lateral transconjunctival approach. Relevant anatomy
and technique is described. The combination of previously described lower lid transconjunctival
and gingivobuccal sulcus incisions with this new upper lid lateral transconjunctival
approach provides adequate access for rigid fixation of all major components of orbitozygomatic
fractures without skin incisions.
Orbitozygomatic - transconjunctiva - tripod fracture - zygoma - trauma
