Swinging Eyelid Procedure: An Useful Approach for Reduction of Zygomaticomalar Fracture


The swinging eyelid procedure is a versatile technique to approach orbital and periorbital surgical fields with less visible scar. Although mainly used in orbital surgeries, this procedure can also be used to expose the zygomatic arch and periorbital areas. The swinging eyelid procedure, therefore, enables appropriate reduction of zygomaticomalar fracture under direct visualization. We used this technique for a 27 years old man with a displaced zygomaticomalar fracture that pushed on the lateral rectus muscle. Good functional and cosmetic results were obtained postoperatively without ocular motility impairment.

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H. Kakizaki, Y. Takahashi, H. Miyazaki, A. Ichinose and W. Chan, "Swinging Eyelid Procedure: An Useful Approach for Reduction of Zygomaticomalar Fracture," Surgical Science, Vol. 2 No. 3, 2011, pp. 147-150. doi: 10.4236/ss.2011.23031.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] C. D. McCord Jr., “Orbital Decompression for Graves’ Disease: Exposure through Lateral Canthal and Inferior Fornix Incision,” Ophthalmology, Vol. 88, No. 6, 1981, pp. 533-541.
[2] H. Kakizaki, R. Malhotra, S. N. Madge and D. Selva, “Lower Eyelid Anatomy: An Update,” Annals of Plastic Surgery, Vol. 63, No. 3, 2009, pp. 344-350. doi:10.1097/SAP.0b013e31818c4b22
[3] P. Kelley, R. Hopper and J. Gruss, “Evaluation and Treatment of Zygomatic Fractures,” Plastic and Reconstructive Surgery, Vol. 120, No. 7, 2007, pp. 5S-15S. doi:10.1097/01.prs.0000260720.73370.d7
[4] W. W. Keen, “Surgery, Its Principles and Practice,” WB Saunders, Philadelphia, 1909.
[5] H. D. Gillies, T. P. Kilner and D. Stone, “Fractures of the Malar-Zygoma Compound, with a Description of a New X-Ray Position,” British Journal of Surgery, Vol. 14, No. 56, 1927, pp. 651-656. doi:10.1002/bjs.1800145612
[6] G. de Riu, S. M. Meloni, R. Gobbi, D. Soma, A. Baj and A. Tullio, “Subciliary Versus Swinging Eyelid Approach to the Orbital Floor,” Journal of Cranio-Maxillofacial Surgery, Vol. 36, No. 8, 2008, pp. 439-442. doi:10.1016/j.jcms.2008.07.005
[7] N. Shorr and M. K. Fallor, “‘Madame Butterfly’ Procedure: Combined Cheek and Lateral Canthal Suspension Procedure for Post-Blepharoplasty, ‘Round Eye’, and Lower Eyelid Retraction,” Ophthalmic Plastic & Reconstructive Surgery, Vol. 1, 1985, pp. 229-235.
[8] S. A. Wolfe, R. Ghurani, S. Podda and J. Ward, “An Examination of Posttraumatic, Postsurgical Orbital Deformities: Conclusions Drawn for Improvement of Primary Treatment,” Plastic and Reconstructive Surgery, Vol. 122, 2008, pp. 1870-1881. doi:10.1097/PRS.0b013e31818cc36a

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