Abstract In recent years, increasing highway speeds have made traumatic injuries of the facial skeleton a commonplace occurrence. Some problems in the management of such injuries, which were not apparent in the past, are now becoming evident. One which we have encountered recently is the development of a postoperative oral-antral fistula through the operative incision following intraoral reduction of fracture of the zygoma. While in no way disabling, this problem may be a source of considerable annoyance to the patient. Also, it may be easily overlooked by the physician who is trying to give the patient the financial benefit of the shortest possible hospitalization. The so-called "tripod" fracture of the zygoma is one of the more common fractures of the facial skeleton. The injury usually is caused by a hard blow high on the cheek, which separates the heavy part of the zygoma from the adjacent facial bones (Fig. 1). Rowe References 1. Rowe, N. L., and Killey, H. C.: Fractures of the Facial Skeleton , Baltimore, The Williams & Wilkins Company, 1955. 2. Kazanjian, V. H., and Converse, J. M.: The Surgical Treatment of Facial Injuries , Baltimore, The Williams & Wilkins Company, 1949. 3. Laskin, D. M., and Robinson, I. B.: Surgical Closure of the Oroantral Fistula , J. Oral Surg. 14:201 ( (July) ) 1956. 4. Murphey, H. S.: Personal communication to the author. 5. Jennings, H. B.: Personal communication to the author. 6. Shira, R. B.: Personal communication to the author.
A.M.A. Archives of Otolaryngology – American Medical Association
Published: Nov 1, 1959