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March 1950


Author Affiliations

From the Surgical Service of the Veterans Hospital. The opinions and conclusions expressed in this article are those of the author and do not necessarily reflect the policies of the Medical Department of the Veterans Administration.

Arch Surg. 1950;60(3):503-510. doi:10.1001/archsurg.1950.01250010522007

DEPRESSED fractures of the malar bone offer a source of annoyance to the surgeon because of the facial asymmetry which results if they are overlooked or neglected. The main characteristic of the deformity is a loss of the malar prominence, which results in a falling away or flattening of the cheek on the affected side. Ptosis and lateral displacement of the ipsilateral eye due to loss of support furnished by the inferolateral orbital walls further aggravate the condition. To prevent such disfigurement, early reduction and support of the malar bone in a reduced position is indicated. There are many procedures described for doing this, and the average case is readily handled by the indicated technic. Ordinarily little or no residual deformity will remain. Complete or partial loss of the malar bone is a condition seldom seen in civilian life. During the late war, however, it was impossible to see many

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