Approaching the zygoma with an endoscope

Area of Science:

• Plastic Surgery
• Minimally Invasive Surgery
• Facial Trauma Reconstruction

Background:

• Traditional surgical approaches for zygomaticomaxillary complex fractures often require extensive incisions, such as coronal or hemicoronal approaches.
• These traditional methods provide broad exposure but can lead to significant scarring and postoperative edema.
• Endoscopic assistance has emerged as a potential alternative to improve visualization and minimize invasiveness.

Observation:

• This study evaluated the use of endoscopy in conjunction with small incisions for zygomatic bone and arch exposure and correction.
• Eight cases of zygomatic fracture and one case of zygomatic reduction were treated using this endoscopic technique.
• The access incision was typically located behind the temporal hairline, combined with a buccal incision.

Findings:

• Endoscopic visualization allowed for clear, magnified views, enabling correction of deformities without the need for a coronal incision in selected cases.
• Satisfactory results were achieved in all treated cases, with no reported complications.
• Endoscopic procedures resulted in reduced postoperative scarring and less damage to vascular and lymphatic circulation, leading to decreased edema.

Implications:

• Endoscopic approaches for zygomatic fracture repair offer significant advantages in terms of aesthetics and patient recovery due to smaller incisions.
• This technique provides a viable alternative for specific zygomaticomaxillary complex reconstructions, potentially improving patient outcomes.
• Further research may be needed to optimize the time efficiency of endoscopic percutaneous fixation techniques for the zygomatic arch.