Clinical application of modified preauricular and temporal approach for open reduction and fixation in zygomatic bone and arch fracture
10.3760/cma.j.issn.1671-0290.2015.03.002
- VernacularTitle:改良耳颞切口在颧骨颧弓骨折患者开放复位手术中的应用
- Author:
Hongyi ZHANG
;
Guodong PENG
;
Xiaowei SHE
;
Zubing LI
;
Zhuo ZHANG
- Publication Type:Journal Article
- Keywords:
Zygomatic bone;
Zygomatic arch;
Fracture;
Modified auriculotemporal incision;
Functionality and aesthetics
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2015;21(3):133-135
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore a new approach that is better than coronal scalp incision and facial percutaneous small incision in surgical treatment of zygomatic bone and zygomatic arch fracture.Methods The modified auriculotemporal incision was applied in 43 patients with zygomatic bone and zygomatic arch fracture that needed open reposition,and the exposure degree,bleeding,postoperative elasticity and texture of skin,facial nerve function and satisfactory degree were evaluated after operation.Results In present study,the upper part of zygomatic arch and lateral orbital margin could be greatly explored for operation of zygomatic bone and zygomatic arch fracture in all 43 patients by application of this approach.Less bleeding was observed during operation.All patients had primary healing and none of them presented with temporal numbness and facial palsy.After 6 months follow-up,41 cases (95.3％) and 43 cases (100％) showed fine elasticity of operative skin and satisfactory degree,respectively.Conclusions The modified auriculotemporal incision is better than conventional approach in surgical treatment of zygomatic bone and zygomaticarch fracture.
