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Modified Temporal Incision for the Management of Zygomatic Arch fractures-A Retrospective Study for 7 Years
S Devakumari1, Neil Dominic1, T Vijhayapriya2
1Department of Dentistry, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Craniomaxillofacial Trauma & Reconstruction
|March 10, 2022
Summary
The modified temporal incision is a reliable surgical approach for zygomatic arch fractures, showing no permanent complications in patients within 12 weeks post-operation.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Trauma Surgery
Background:
- Zygomatic arch fractures (ZAF) are common facial injuries.
- Surgical management aims to restore facial contour and function.
- The modified temporal incision is a surgical approach for ZAF management.
Purpose of the Study:
- To evaluate the clinical outcomes and complications of the modified temporal incision in ZAF management.
- To assess the safety and efficacy of this surgical technique.
Main Methods:
- Retrospective cross-sectional study of 34 patients with ZAF treated between 2011 and 2018.
- Open reduction using a modified temporal incision.
- Follow-up at 4, 8, and 12 weeks, assessing infection, hematoma, scarring, mouth opening, plate palpability, alopecia, and facial nerve weakness.
Main Results:
- No cases of hematoma, infection, or plate palpability were observed.
- Transient scarring and temporal branch of the facial nerve weakness were noted in some patients at 4 and 8 weeks.
- Complete recovery with no residual nerve weakness occurred by 12 weeks.
Conclusions:
- The modified temporal incision is a reliable and safe method for managing zygomatic arch fractures.
- This technique can be confidently used in suitable ZAF cases, with no permanent morbidity expected.
