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April 1966

Immediate Replacement of the Zygomatic Compound

Author Affiliations

From the Department of Otolaryngology and Maxillofacial Surgery, the University of Iowa Hospitals, Iowa City.

Arch Otolaryngol. 1966;83(4):368-371. doi:10.1001/archotol.1966.00760020370016

RECONSTRUCTION of the zygomatic compound, after destruction or surgical removal, is usually performed by building up the defect with fragments of bone taken from the iliac crest. This technique has several disadvantages. One drawback lies in the difficulty of obtaining smooth and regularly contoured surfaces. This may at times necessitate subsequent surgical correction. Furthermore, because of the complex structure of the zygomatic compound, its reconstruction with multiple bone fragments makes immobilization almost impossible, and the fragments are left to be held in place by the overlying soft tissues and a great deal of luck. Obviously these two main disadvantages of this procedure may be overcome if the reconstruction could be performed with a preformed single bone graft.

Byars,1 Dingman,2 Dingman and Harding,3 Longacre and DeStefano,4 and others have called attention to the fortuitous resemblance of certain skeletal segments in one part of the body to those

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