Endoscopic-assisted wire removal and neurolysis

Area of Science:

• Minimally Invasive Surgical Techniques
• Neurolysis Procedures
• Orthognathic Surgery Complications

Background:

• Endoscopic-assisted surgery offers enhanced visualization and remote access for complex procedures.
• Zygomatic arch fractures can lead to complications such as nerve entrapment and persistent pain.
• Traditional surgical approaches may require visible incisions, impacting aesthetics and healing.

Observation:

• A patient presented with pain and tenderness following a zygomatic arch fracture, indicative of potential nerve involvement.
• Endoscopic assistance was utilized for neurolysis of the zygomaticotemporal nerve and removal of a problematic fixation wire.
• The endoscopic approach allowed for precise dissection and removal of the foreign body.

Findings:

• Endoscopic control provided a magnified and illuminated view of the surgical site, facilitating accurate dissection.
• Remote incision placement in an unscarred area minimized visible scarring and potential complications.
• Successful neurolysis and fixation wire removal were achieved, addressing the patient's symptoms.

Implications:

• Endoscopic-assisted surgery represents a viable and effective strategy for managing complications of zygomatic arch fractures.
• This technique offers potential benefits in terms of reduced morbidity and improved cosmetic results.
• Further research into endoscopic applications for similar craniofacial reconstructions is warranted.