Purpose: To explore the application of lateral brow incision by the guide of sphenozygomatic suture for zygomatic complex fracture.
Methods: Lateral brow incision combined with intraoral vestibule incision and below cilia incision were applied in 26 patients who had Zingg's type B and C zygomatic complex fracture,through which the fracture lines around the forehead and zygomatic suture, sphenozygomatic suture, suborbital edge, zygomatic maxillary suture, zygomatic temporal suture, zygoma- alveolar column were exposed. After accurate reduction by the guide of sphenozygomatic suture, rigid fixation by titanium plates was performed. The patients were followed up for 3-24 months.
Results: Twenty-three patients acquired satisfactory outcome with ideal facial figure,function and minimal scar and 3 patients of type C developed mild asymmetric facial contour.
Conclusions: The application of lateral brow incision by the guide of sphenozygomatic suture and rigid fixation for zygomatic complex fracture approach leaves minimal scar and injury to the facial nerve,with better esthetic and functional outcome.