Zygomatic sagittal split osteotomy: a novel and simple surgical technique for use in midface corrections

J Craniofac Surg. 2010 Nov;21(6):1872-5. doi: 10.1097/SCS.0b013e3181f4ab9f.

Abstract

Background: The correction of many craniofacial malformations requires the improvement and stabilization of the midface area. In this article, we present a simple surgical technique for improving and correcting the orbitozygomatic area. This technique is called zygomatic sagittal split osteotomy (ZSSO).

Methods: Between September 2003 and June 2008, we performed ZSSO on 12 patients. The technique is described in the article. We performed a clinical evaluation of the technique using the following criteria: postsurgical complications, loss of stability, and sagittal prominence. In addition, a radiologic evaluation was performed on axial computed tomographic images. We considered a 1-year follow-up.

Results: We performed 15 ZSSO procedures. No evidence of postsurgical complications, loss of stability, or sagittal prominence was reported during the 1-year follow-up.

Conclusions: Zygomatic sagittal split osteotomy is a simple surgical technique to be used in the correction and stabilization of the midface area. It can be performed without using graft or osteodistraction device.

MeSH terms

  • Adolescent
  • Adult
  • Bone Screws
  • Child
  • Craniofacial Abnormalities / surgery
  • Facial Bones / injuries
  • Facial Bones / surgery*
  • Facial Injuries / surgery
  • Female
  • Follow-Up Studies
  • Fractures, Malunited / surgery
  • Frontal Bone / surgery
  • Humans
  • Longitudinal Studies
  • Male
  • Maxilla / surgery
  • Orbit / surgery
  • Osteotomy / methods*
  • Osteotomy, Le Fort / methods
  • Postoperative Complications
  • Skull Fractures / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Young Adult
  • Zygoma / surgery*