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Coronal incision for treating zygomatic complex fractures.

Qing-Bin Zhang1, Yao-Jun Dong, Zu-Bing Li

  • 1Department of Oral and Maxillofacial Surgery, School of Stomatology, Wuhan University, Wuhan City, People's Republic of China.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|March 15, 2006
PubMed
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Coronal incisions offer extensive exposure for zygomatic complex fracture repair but carry risks like facial nerve injury and scarring. Careful patient selection is crucial to balance benefits against potential complications.

Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Trauma Surgery

Background:

  • Zygomatic complex fractures are common facial injuries.
  • Surgical approaches aim for anatomical reduction and functional restoration.

Purpose of the Study:

  • To evaluate the efficacy and complications of coronal incisions in treating zygomatic complex fractures.

Main Methods:

  • Retrospective analysis of 69 patients treated with coronal incisions for zygomatic complex fractures.
  • Assessment of indications, operative details, and postoperative outcomes.

Main Results:

  • Coronal incisions provide excellent exposure for reduction.
  • Complications included hemorrhage, infection, supraorbital paresthesia, facial nerve injury (forehead and eye closure), scarring, temporal fossa depression, and persistent facial nerve palsy.

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Conclusions:

  • Coronal incisions offer significant advantages for complex fracture reduction.
  • However, risks of scarring, nerve injury, and aesthetic deformities necessitate strict indications and avoidance of overuse.