$closed fracture of zygomatic arch$

Our modified Gillies approach to zygomatic arch fractures in the setting of a bicoronal incision can be applied to a wide range of cases because of the frequency with which arch fractures occur with concomitant craniomaxillofacial injuries requiring wide exposure. Moreover, this method saves time and money and decreases morbidity.

$closed fracture of zygomatic arch$

This technique exploits the advantages of the traditional Gillies approach, preserving fascial attachments, avoiding neurovascular injury, and obviating the need for rigid fixation. With the deep temporal fascia exposed from the reflected bicoronal flap, a 1-cm horizontal incision is made within the deep temporal fascia allowing a Gillies elevator to easily reduce the arch fracture in a plane between the deep layer of the deep temporal fascia and the temporalis muscle. Using principles obtained from isolated arch fractures, we present for the first time to our knowledge the use of a modified Gillies approach to noncomminuted zygomatic arch fractures in a case requiring a bicoronal incision. In situations requiring a bicoronal incision to address concomitant injuries, zygomatic arch fractures are frequently treated with wide dissection and rigid fixation. Treat simple zygomatic arch or tripod fractures without eye injury with ice and analgesics and refer for. However, zygomatic arch fractures often occur in conjunction with zygomaticomaxillary complex, Le Fort, calvarial, and naso-orbitoethmoid fractures. Maxillofacial CT best identifies zygoma fractures. Isolated noncomminuted depressed zygomatic arch fractures are easily treated with the minimally invasive Gillies approach, which most often provides long-term stability. The suture wire method is quick, simple, easy, and effective for the reduction of isolated, depressed fractures of the zygomatic arch.Zygomatic arch fractures are common injuries, occurring in isolation in 5% of all patients with facial fractures and in 10% of patients with any fracture to the zygomaticomaxillary complex. Subjective evaluation was carried out comparing preoperative, 1 and 3 months photographs assessing facial symmetry, as well as the patients' satisfaction.Īfter a period of 3 to 6 months follow-up between January 2017 and December 2019, all patients were satisfied by the overall results, no major complications were recorded and no additional surgery needed for them. Surgical outcomes were subjected for objective assessment based on the postoperative alignment of the zygomatic arch in the computed tomography (CT scan) immediately after surgery and after 3 months. The isolated zygomatic arch fracture is classified as Type I: Nondisplaced fractures, Type II: Greenstick fracture with or with- out coronoid impingement, Type. Closed reduction of the zygomatic arches was carried on by a stainless steel wire. All patients were evaluated based on the clinical and radiographic findings. This study included twenty patients presented with isolated zygomatic arch fractures between January of 2017 and December of 2018.

$closed fracture of zygomatic arch$

The aim of the present study is to present a simple, easy, and reliable method for closed reduction of isolated zygomatic arch fractures. There are several techniques available for reduction of zygomatic arch fractures, which include closed reduction and open reduction with fixation using metallic splints, closed reduction via Gillies or a gingivobuccal approach is preferred for minimal invasiveness, short operative time, and low complication rate. Zygomatic arch fractures can occur either as isolated fractures or as a part of multiple facial fractures.

$closed fracture of zygomatic arch$

Closed fracture of zygomatic arch