Gillie's Reduction of Zygomaticomaxillary Complex (ZMC) Fracture

Author:  Jayant K. Watve,  Professor and Head, Dept of E.N.T.  Rajarshi Chhatrapati Shahu Maharaj Govt. Medical College (RCSMGMC)  Kolhapur, India. 

Abstract:  The author reports 15 cases of maxillary complex fractures which were treated in the Indian subcontinent.   Thirteen cases were stable after reduction with a Gillie's approach without fixation and obtained a good cosmetic result.   In two patients, the fracture was unstable are required an open reduction with stabilization. 

Editor's Note:  This video reports an incidence of post reduction stability without fixation of approximately 87% of patients treated in the Indian Subcontinent.   In the United States, it is standard treatment is to fix the vast majority of displaced ZMC fractures.   
See Reference: Zygomaticomaxillary Complex Fracture.  Tang Ho.

Consultation with a medical doctor for an accurate diagnosis and discussion of risks and complications is needed in order to determine the best treatment options for a patient's condition. 


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