Closed reduction with minimal accesses for treating isolated zygomatic arch fractures: Case Series

Authors

DOI:

https://doi.org/10.33448/rsd-v10i6.15792

Keywords:

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

30/05/2021

How to Cite

LÔBO, M. V.; NASCIMENTO, Y. L.; ANDRADE, T. I. de; PONTES, K. T.; ANDRADE, J. S. de; BARBOSA, L. N. dos S.; SOUZA, I. C. de; BRAINER, D. L. B. Closed reduction with minimal accesses for treating isolated zygomatic arch fractures: Case Series. Research, Society and Development, [S. l.], v. 10, n. 6, p. e30810615792, 2021. DOI: 10.33448/rsd-v10i6.15792. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/15792. Acesso em: 24 jun. 2021.

Issue

Section

Health Sciences