West China Journal of Stomatology

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Clinical study on endoscope-assisted repair of zygomatic arch fracture

Luo Qi, Xiao Wenzhi, Chen Yong, Zhang Li.   

  1. Dept. of Oral and Maxillofacial Surgery, The No.2 People's Hospital of Yunnan Province, Kunming 650021, China
  • Received:2015-10-26 Revised:2015-12-22 Online:2016-04-01 Published:2016-04-01
  • Contact: Chen Yong, E-mail: 1179233644@qq.com.

Abstract:

Objective  A study was conducted to investigate the relevant applied technique and clinical value of endoscope-assisted repair of zygomatic arch fracture. Methods  A total of 10 cases of unilateral zygomatic arch fracture and 8 cases of unilateral zygomatic fracture were included. Reduction and fixation of the zygomatic arch in all cases were performed via a small face incision by an endoscope. Endoscope-assisted repair allowed exposure of zygomatic arch fracture and ended the anatomy of the reset. Zygomatic arch was stabilized with titanium plates. Results  Symmetric malar was achieved in all cases after operation. Patients did not show difficulty in opening the mouth. No chewing problems or severe complications were evident. This method had the advantage of hidden incision, and it did not leave scars on the face. Postoperative CT examination showed excellent reduction of zygomatic arch fracture and good fixed position of titanium plate. Conclusion  Endoscope-assisted repair of zygomatic arch fracture via a small face incision can be an alternative operation for zygomatic arch fracture. Patients are less traumatized. There are fewer complications. A good reduction of fracture is achieved.

Key words: zygomatic arch fracture, endoscope, internal fixation