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A study on coronal incision for treating zygomatic complex fractures.

Sujith Kumar Shetty¹, D Saikrishna, Santosh Kumaran

¹Dept. of Oral and Maxillofacial Surgery, JSS Dental College and Hospital, S.S. Nagar, Mysore, India.

Journal of Maxillofacial and Oral Surgery

|November 10, 2012

Summary

The coronal incision offers good access for zygomatic complex fracture repair, with minor complications. Careful patient selection is advised due to potential risks like facial nerve injury.

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Area of Science:

Oral and Maxillofacial Surgery
Plastic Surgery
Trauma Surgery

Background:

Zygomatic complex fractures are common facial injuries.
Surgical management aims for anatomical reduction and functional restoration.
Various surgical approaches exist, each with specific advantages and disadvantages.

Purpose of the Study:

To evaluate the efficacy of the coronal incision for treating zygomatic complex fractures.
To assess the benefits, indications, and potential complications of this surgical approach.

Main Methods:

A prospective study involving 12 patients with comminuted zygomatic complex fractures.
All patients underwent open reduction and internal fixation via a coronal approach.
Associated midface fractures were also addressed if present.

Keywords:

Coronal incision Zygomatic complex fractures

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Main Results:

The coronal incision provided excellent access to the zygomatic complex and arch.
Minor complications were observed, including temporary facial nerve weakness in some patients.
No flap infections or paraesthesia were reported; scar formation was generally minimal and hidden.

Conclusions:

The coronal incision is a valuable approach for zygomatic complex fractures, offering good access and aesthetic outcomes.
Potential disadvantages include longer operating times and risk of facial nerve injury.
Judicious use and strict adherence to indications are recommended for optimal results.