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Case 5 - ZMC Summary

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So let's conclude the discussion of the

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zygomaticomaxillary complex or tripod fractures,

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with a return to this diagram and make sure we understand

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the various sutures of the tripod fracture.

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So, as you can see,

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the suture that we're demonstrating here is this

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zygomaticomaxillary suture, up anteriorly attachment to the

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maxillary bone. Then we have the zygomaticofrontal suture,

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which is the portion that is reflected in the lateral orbital

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wall that you can see here in the red arrows.

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Then we have the attachment tear more posteriorly to

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the zygomatic temporal bone. This is usually... here,

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you're seeing it at the zygomatic arch.

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But usually we refer to it here at the junction with

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the temporal bone as the third of the four wings.

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And then, deep down is the

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zygomatic sphenoid suture, which is demonstrated on this diagram

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as showing inside the orbit as the fourth of the four

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buttresses, if you will, of the ZMC bone fragment.

Report

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Neuroradiology

Head and Neck

Emergency

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