Clinical application of double eyelid incision in internal fixation of zygomatic-frontal fracture

Abstract

Objectives: This study aimed to investigate the clinical application effect of double eyelid incision in the internal fixation of suturae zygomatico-frontalis fracture.

Methods: A total of 12 patients with zygomatic complex fracture and evident fracture segment displacement, accompanied by facial collapse or mouth opening limitation and other functional disorders, were selected for open reduction and internal fixation. The suturae zygomatico-frontalis fracture was fixed using a double eyelid approach. Postoperative evaluation was performed on fracture reduction and fixation to evaluate the improvement of function and deformity, postoperative scar, and other conditions.

Results: All fractures had convenient reduction and fixation, and all patients had satisfactory facial appearance, evident functional improvement, and hidden postoperative scar.

Conclusions: As a surgical approach to reduce and internally fix zygomatic complex fracture, double eyelid incision can reduce not only the fracture, but also the trauma, thereby indicating its certain clinical value.

Keywords: double eyelid; internal fixation approach; suturae zygomatico-frontalis.

图 1. 颧额缝骨折双重睑手术入路的切口设计及术中暴露

Fig 1 Incision design and intraoperative exposure of double eyelid surgical approach for zygomatic-frontal fractures A、B：手术切口设计；C：术中骨折段暴露；D：术后缝合。a：双重睑切口；b：眶下缘切口。

图 2. 术后1周（A）、6个月（B）随访照片及术后CT影像（C）

Fig 2 Postoperative follow-up photos at 1 week (A) and 6 months (B) and postoperative CT image (C)