1946•Archives of Otolaryngology - Head and Neck SurgeryRequires access
FRACTURES OF THE MALAR-ZYGOMATIC COMPOUND: Treatment by Improved Methods and Myoplasty
M. B. STEWART, John Conley
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Abstract
FRACTURE of bones of the zygomatic compound is usually accomplished by severe external force. The zygomatic arch is fractured singly more often than the malar bone, 10 to 1. It is therefore understood that the force necessary to fracture the zygomatic arch is less than that required for a similar injury to the malar bone. Compound fracture of the zygomatic arch, except by a weapon, is unknown (Coakley1). Fracture of the zygomatic compound is usually caused by direct force, such as that encountered in an automobile injury or a blow by fist or instrument. If the maxillary antrum is thin walled, a blow may drive the malar bone directly into it. Fractures of the zygomatic arch are usually multiple (Coakley and White2). Duverney, in 1751, first mentioned treating this type of fracture. It is believed that he reduced the fracture by intraoral manipulation. Hamilton, in Buffalo, was the next