Closed reduction with minimal accesses for treating isolated zygomatic arch fractures: Case Series
DOI:
https://doi.org/10.33448/rsd-v10i6.15792Keywords:
Zygoma; Zygomatic fractures; Closed fracture reduction; Minimally invasive surgical procedures.Abstract
Following nasal fractures, zygomatic fractures (ZF) are the second most prevalent of maxillofacial fractures. Isolated fractures of the zygomatic arch (IZAF) are rare, corresponding to less than 10% of all fractures involving the zygomatic-maxillary complex (ZMC). The choice of treatment for IZAF is controversial, and there is no defined consensus in the literature. We seek to evaluate the advantages of closed reductions with minimal accesses over open reductions through a case series and a 10-year literature review. All patients in our study obtained a satisfactory final result in terms of aesthetics and function of the zygomatic arch, with no complications involved. There are criteria established in the current literature on the indication of open surgery or closed reduction. Open reduction with rigid fixation has the most significant number of studies proving its clinical efficacy. However, closed reduction with minimal accesses has proven to be a suitable therapeutic option for IZAF, presenting satisfactory aesthetic results and fewer surgical risks.
References
Adam, A. A., Zhi, L., Bing, L. Z., & Zhong Xing, W. U. (2012). Evaluation of treatment of zygomatic bone and zygomatic arch fractures: a retrospective study of 10 years. J Maxillofac Oral Surg, 11(2), 171-176.
Ahn, H. C., Youn, D. H., Choi, M. S. S., Chang, J. W., & Lee, J. H. (2015). Wire or Hook Traction for Reducing Zygomatic Fracture. Arch Craniofac Surg, 16(3), 131-135.
Camilleri, A. C., Gilhooly, M., & Cooke, M. E. (2005). Stabilisation of the unstable fractured zygomatic arch with a Kirschner wire. Br J Oral Maxillofac Surg, 43(2), 183-184.
Cavalcante, D. K. F., Veloso, S. R. M., Durão, M. A., Melo, V. C., Monteiro, G. Q. M., & Porto, G. G. (2021). Do Helmet Use and Type Influence Facial Trauma Occurrence and Severity in Motorcyclists? A Systematic Review and Meta-analysis. J Oral Maxillofac Surg. https://doi.org/10.1016/j.joms.2021.02.028
Cheon, J. S., Seo, B. N., Yang, J. Y., & Son, K. M. (2013). Clinical Follow-up on Sagittal Fracture at the Temporal Root of the Zygomatic Arch: Does It Need Open Reduction? Arch Plast Surg, 40(5), 546-552.
Cinal, H., Barin, E. Z., Çakmak, M. A., Kara, M., Yilmaz, K., & Tan, O. (2019). Novel Surgical Technique for Repair of Zygomatic Fractures: Lever Technique. Plast Surg (Oakv), 27(2), 135-140.
Giran, G., Paré, A., Croisé, B., Koudougou, C., Mercier, J. M., Laure, B., Corre, P., & Bertin, H. (2019). Radiographic evaluation of percutaneous transfacial wiring versus open internal fixation for surgical treatment of unstable zygomatic bone fractures. PLoS One, 14(8), e0220913.
Jang, J. W., Cho, J., & Burm, J. S. (2021). Inferomedially impacted zygomatic fracture reduction by reverse vector using an intraoral approach with Kirschner wire. Arch Plast Surg, 48(1), 69-74.
Jardim, E. C. G., Junior, J. F. S., Melo, R. L. d., Mendonça, J. C. G. d., Faverani, L. P., Junior, I. R. G., & Shinohara, E. H. (2013). Combinação de técnicas para tratamento cirúrgico de fratura do complexo zigomático-maxilar: relato de caso. Archives of Health Investigation, 2(3), 33-36.
Ji, S. Y., Kim, S. S., Kim, M. H., & Yang, W. S. (2016). Surgical Methods of Zygomaticomaxillary Complex Fracture. Arch Craniofac Surg, 17(4), 206-210.
Kim, J. S., Park, Y. J., Lee, Y. J., Kim, N. G., & Lee, K. S. (2016). Reduction of Zygomatic Arch Isolated Fracture Using Ultra Sound and Needle Marking. Arch Craniofac Surg, 17(4), 198-201.
Korkmaz, Y. T., Coskun, U., Durmuslar, M. C., Zor, Z. F., Hocaoglu, T. P., & Altintas, N. Y. (2016). Reduction of isolated zygomatic arch fractures using dental instrument: Report of 2 cases and review of the literature. J Pak Med Assoc, 66(3), 345-347.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da Pesquisa Científica (1 ed.). Núcleo de Tecnologia Educacional da Universidade Federal de Santa Maria.
Prakasam, M., Dolas, R. S., Managutti, A., & Deepashri, K. (2011). A modified temporal incision: an alternative approach to the zygomatic arch. J Maxillofac Oral Surg, 9(4), 428-433.
Ravi Raja Kumar, S., Venkata Raju, K., & Sunanda, K. (2011). Stabilization of the Isolated Zygomatic Arch Fracture Using Foley's Balloon Catheter. J Maxillofac Oral Surg, 9(4), 407-409.
Rohit, Vishal, Prajapati, V. K., Shahi, A. K., Prakash, O., & Ekram, S. (2021). Etiology, Modalities of Zygomaticomaxillary Complex Fracture, open reduction and fixation. J Clin Exp Dent, 13(3), e215-e220.
Starch-Jensen, T., Linnebjerg, L. B., & Jensen, J. D. (2018). Treatment of Zygomatic Complex Fractures with Surgical or Nonsurgical Intervention: A Retrospective Study. Open Dent J, 12, 377-387.
Strong, E. B., & Gary, C. (2017). Management of Zygomaticomaxillary Complex Fractures. Facial Plast Surg Clin North Am, 25(4), 547-562.
Xie, L., Shao, Y., Hu, Y., Li, H., Gao, L., & Hu, H. (2011). Modification of surgical technique in isolated zygomatic arch fracture repair: seven case studies. Int J Oral Maxillofac Surg, 38(10), 1096-1100.
Yamsani, B., Gaddipati, R., Vura, N., Ramisetti, S., & Yamsani, R. (2016). Zygomaticomaxillary Complex Fractures: A Review of 101 Cases. J Maxillofac Oral Surg, 15(4), 417-424.
Yoon, H., Kim, J., Chung, S., & Chung, Y. K. (2014). Effectiveness of Dual-Maneuver Using K-Wire and Dingman Elevator for the Reduction of Unstable Zygomatic Arch Fracture. Arch Craniofac Surg, 15(2), 59-62.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Maelly Vicente Lôbo; Yasmin Lima Nascimento; Taysnara Ismaeley de Andrade; Kaiane Tavares Pontes; Joelma Silva de Andrade; Luandson Nunes dos Santos Barbosa; Ilberto Cândido de Souza; Diogo Luiz Bastos Brainer
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.