Minimally invasive surgery for zygomatic fracture; manner of reduction and fixation

The key points in minimum invasive surgery for zygomatic fractures are the appropriate reduction and prevention of relapse with a minimum number of fixation devices. To this end, we propose the following principles: 1) the first step in the decisiontree is to diagnose the fracture pattern of the zygomaticofrontal suture on CT, 2) avoid the lower-lid approach as far as possible, and 3) a T-bar screw instead of simple elevatorium is used where necessary to enable precise reduction.