After local anaesthesia, a horizontal incision was made in the free gingiva for a distance of approximately 2 cm over the zygomatic buttress
extending through the mucosa, submucosa, and any buccinator muscle fibers (Figure-2A).
A monobloc was created using an osteosynthesis fixation device from the zygomatic buttress
to the mandible LeFort I osteotomy was combined with mandibular angle osteotomy and the bloc was distracted using uni-directional distractor.
Clinical examination revealed a moderately large left facial mass extending from infraorbital region to upper lip and from ala of nose to zygomatic buttress
Fracture at zygomatic buttress and infraorbital rim (27.
In patients with single processes fracture, the zygomatic buttress was most commonly involved accounting 23.
The Buccal Fat Pad (BFP) was exposed through a horizontal incision posterior to zygomatic buttress
through the reflected flap.
We placed two intra oral distractor devices fixated with miniplates at the zygomatic buttress
as it is strong enough to secure the device.