Thank you so much sir. Because of you I have attempted this Long Answer Question perfectly in my university exam. I wrote 6 pages answer describing all the three treatment options and all the approaches perfectly. Thank you once again 😊
Superb explanations.Its explained in such an understandable way.The best channel for surgery lectures.I would not have understood the basic things in surgery without this channel.Thankyou so much sir for the wonderful explanations
Thankyou so much for the concise lectures with easy diagrams sir. But about the temporal is fascia at 10.50, It arises from superior temporal line and not superior nuchal line. Please do verify and make the corrections sir.
Sir sorry to say but when you mentioned about the origin of temporal fascia in the gille's temporal approach you mentioned superior nuchal line by slip of tongue... It's actually superior temporal line from where the temporal fascia starts
Sir .sequence given in recently released AOMSI book mentioned about 5 point fixation and also they say that first to fix the butress, and also in 1 point fixation any one site i .e. FZ or ZM is placed
it is not absolute contraindication....comminution is more than two fracture lines in a bone. Bone pieces may be large or small after comminution. if the bone pieces are large enough to plate then we can go for open reduction and load bearing type of fixation. During closed reduction of mandibular and lefort fractures we can take occlusion as a guide. ZMC fractures do not involve occlusion. So we cant take occlusion as a guide for closed reduction in case of zmc fractures. And zygoma constitutes part of orbit, plays vital role in esthetics (malar projection). in comminuted zmc fractures, definitely there is flattening of malar prominence. Keeping all these in mind ....it is better to go for open reduction and internal fixation...
we can left as it is if there is no functional or esthetic problems. if indicated, we have to refracture zygoma at its four processes and realign to normal position and do orif ...
it depends on fracture pattern, amount of stability needed and surgeons expertise..if more processes of zygoma are involved, then more points of fixation should be done.
