Treatment of M type zygomatic arch fracture using two subperiosteal access

doi:10.3877/cma.j.issn.1674-1366.2016.01.010

Abstract

Abstract:

Objective

To explore treatment effect of M type zygomatic arch fracture using two subperiosteal accesses.

Methods

Forty-eight patients of M type zygomatic arch fracture were treated through two subperiosteal accesses. The patient was dissected until the superficial muscular aponeurotic system (SMAS) . Two subperiosteal accesses, which were just above the bilateral fracture position of M type zygomatic arch fracture, were then performed. The SMAS was dissected to expose the three fracture lines of zygomatic arch, then treated with reduction and rigid internal fixation under sufficient exposure.

Results

All patients were anatomic reduction and no nerve injury was seen. The average operation time was also shortened.

Conclusion

The two subperiosteal accesses is a good approach for treating the M type of zygomatic arch fracture. This modified surgical technique expands the operation vision.

Key words: Zygomatic fractures, Internal fixation, Surgical access, Superficial musculoaponeurotic system

Ke Wang, Guoguang Peng, Yulian Tan, Lei Yang, Shanzhi He. Treatment of M type zygomatic arch fracture using two subperiosteal access[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2016, 10(01): 55-58.

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URL: https://zhkqyxyjzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-1366.2016.01.010

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References 16

[1]	王科，彭国光，吴俊伟，等. 2461例颌面部骨折患者临床分析[J].中华口腔医学杂志，2011，46(3):139-142.
[2]	皮昕.口腔解剖生理学. 5版.北京：人民卫生出版社，2003：99.
[3]	Prakasam M, Dolas RS, Managutti A，et al. A modified temporal incision：an alternative approach to the zygomatic arch[J]. J Maxillofac Oral Surg，2010，9(4):428-433.
[4]	Rana M, Warraich R, Tahir S，et al. Surgical treatment of zygomatic bone fracture using two points fixation versus three point fixation—a randomised prospective clinical trial[J]. Trials，2012(13):36.
[5]	Gandi LN, Kattimani VS, Gupta AV，et al. Prospective blind comparative clinical study of two point fixation of zygomatic complex fracture using wire and mini plates[J]. Head Face Med，2012(8):7.
[6]	周永强，叶文成，唐友盛.冠状切口并发症研究[J].口腔颌面外科杂志，2000，10(1):77-78,80.
[7]	Kim S, Matic DB. The anatomy of temporal hollowing：the superficial temporal fat pad[J]. J Craniofac Surg，2005，16(5):760-763.
[8]	Luo W, Wang L, Jing W，et al. A new coronal scalp technique to treat craniofacial fracture：the supratemporalis approach[J]. Oral Surg Oral Med Oral Pathol Oral Radiol，2012，113(2):177-182.
[9]	王双义，杨静，代继红.局部小切口入路治疗颧眶区骨折32例报道[J].上海口腔医学，2009，18(4):446-448
[10]	Wilk A, Biotchane I, Rosenstiel M，et al. Osteosynthesis of subcondylar fractures using a rectangular 3-dimensional stabilization plate[J]. Rev Stomatol Chir Maxillofac，1997(98 Suppl 1):40-44.
[11]	Lee C, Czerwinski M. Applications of the endoscope in facial fracture management[J]. Semin Plast Surg，2008，22(1):29-36.
[12]	张志光.微创外科技术在颌面部创伤中的应用[J].中华口腔医学杂志，2006，41(10):587-589.
[13]	Jo T, Kim J. An anthropometric and three-dimensional computed tomographic evaluation of two-point fixation of zygomatic complex fractures[J]. Arch Plast Surg，2014，41(5):493-499.
[14]	de Santana Santos T, Cavalcante JR, Cavalcante JR Jr，et al. Treatment of unstable fractures of the zygomatic arch[J]. J Craniofac Surg，2014，25(3):1143-1144.
[15]	陈舜岳，王姝，章小泉，等.半冠状切口结合小钛板固定治疗颧骨、颧弓多发性骨折[J].上海口腔医学，2003，12(6):467-468.
[16]	彭国光，陈志维.牙颌创伤治疗学.北京：人民卫生出版社，2010：132-134.

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