A 5 inch long mini titanium plate was adapted and fixed by passing it below the arch through lateral eye brow incision and brining it behind the zygomatic buttress
to the front of maxilla.
A clinical study of the outcomes and complications associated with zygomatic buttress
block bone graft for limited preimplant augmentation procedures.
In the present case, the location of the molar tube high up at the zygomatic buttress, external to the maxillary sinus, seems to be less likely to cause life-threatening consequences, and it may preferably be left in situ.
Caption: Figure 2: Cone Beam CT images showing the dislodged molar tube lying outside the right maxillary antrum, as indicated by the arrow in axial view (a), while its position in relation to the rigid plate and screws on the zygomatic buttress can be seen clearly in 3-D image (b).
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
fronto-zygomatic suture area and zygomatic buttress region.
Upper buccal sulcus incision measuring 1.5-2.00 cm was given to expose the zygomatic buttress. Row's zygomatic disimpaction forceps was used to reduce the zygomatic bone by lifting it upwards and outwards.
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.
Fracture at zygomatic buttress
and infraorbital rim (27.2%) in combination was most common finding.