Journal of Natural Science, Biology and Medicine

ORIGINAL ARTICLE
Year
: 2012  |  Volume : 3  |  Issue : 2  |  Page : 161--167

The versatility of lower eyelid blepharoplasty incision: In open reduction and fixation of zygomatic complex injuries


V. S. R. Chandran1, R Candamourty2, A Thangavelu3 
1 Department of Oral and Maxillofacial Surgery, Best Dental College, Madurai, India
2 Department of Oral and Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Mahatma Gandhi Medical College and Research Institute Campus, Pillaiyarkuppam, Pondicherry, India
3 Department of Oral and Maxillofacial Surgery, Rajah Muthiah Dental College and Hospitals, Annamalai University, Chidambaram, India

Correspondence Address:
R Candamourty
Professor and Head, Department of Oral and Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Mahatma Gandhi Medical College and Research Institute Campus, Pillaiyarkuppam, Pondicherry - 607 402
India

Introduction: A zygomatic complex fracture includes disruption of the four articulating sutures: zygomaticofrontal, zygomaticotemporal, zygomaticomaxillary and zygomaticosphenoidal sutures. All zygomatic complex fractures involve the orbital floor and therefore an understanding of orbital anatomic features is essential for those treating these injuries. Aims and Objectives: To analyze the efficacy and shortcomings of this approach. To evaluate the adequacy, role of tarsorrhaphy, difficulties, role of steroid in postoperative edema control in lower lid blepharoplasty approach. Materials and Methods: A total number of six patients were included in this study and all the patients were treated surgically under general anesthesia. All the patients were approached through lower eyelid blepharoplasty incision. The first skin crease in the lower eyelid region is selected for this incision. Results: All patients were administered with steroid injection. Frost sutures were placed in four cases and tarsorrhaphy was done in two patients. Three cases encountered immediate mild edema and immediate scar formation. Late scar was present only in two patients with a follow up of three months. Conclusion: Lower eyelid blepharoplasty incision is an excellent, non complicated, simple procedure in the management of fractures in the infraorbital region, orbital floor, which occurs as a part of zygomatic complex fractures.


How to cite this article:
Chandran V, Candamourty R, Thangavelu A. The versatility of lower eyelid blepharoplasty incision: In open reduction and fixation of zygomatic complex injuries.J Nat Sc Biol Med 2012;3:161-167


How to cite this URL:
Chandran V, Candamourty R, Thangavelu A. The versatility of lower eyelid blepharoplasty incision: In open reduction and fixation of zygomatic complex injuries. J Nat Sc Biol Med [serial online] 2012 [cited 2020 Oct 27 ];3:161-167
Available from: http://www.jnsbm.org/article.asp?issn=0976-9668;year=2012;volume=3;issue=2;spage=161;epage=167;aulast=Chandran;type=0