[Simultaneous repair of the zygomatico-naso-orbital complex by free bone and cartilage autotransplants].

: A method for simultaneous surgical treatment of various types of injuries of bone and soft-tissue structures of the zygomatico-naso-orbital area is presented. Special attention is paid to repair of posttraumatic eno- and hypophthalmos. A total of 42 patients were operated on by the proposed methods at Central Institute of Dentistry in 1998-2002. The injuries were diagnosed using computer-aided tomography of the facial skeleton. Bone tissue defects were repaired by free bone autotransplants of the parietal bone, ileac bone crest, tibial bone, autotransplants of the rib and auricular cartilage. Coronary, oral, subciliary accesses are recommended; endonasal access can be used if necessary. The complex approach presented in this report is recommended for repair of posttraumatic deformations and defects and for the treatment of fresh injuries of this location.