[Clinical experience of a case applying temporal approach to zygomatic arch fracture]

The technique of temporal approach was originally introduced by Gillies (1927) for reduction of the zygomatic arch and zygomatic complex fracture. We reported a case of zygomatic arch fracture which was treated by temporal approach in a 36-year-old woman. She rode on a motorcycle and fell down on the ground, so she injured the right zygomatic region. Roentgenograms revealed right zygomatic arch and maxillary fracture. We performed a reconstructive operation for the right zygomatic arch fracture with temporal approach and fixated using an acrylic resin splint for 2 weeks. At 7 months after this operation, depression of the zygomatic region was improved and paralysis in the cheek and upper lip region gradually disappeared.