[A clinical investigation on the surgical approach and fixation in operative treatment zygomatic fractures].
OBJECTIVE
To investigate the effect of soft tissue incision and rigid internal fixation in the treatment of zygomatic fracture.


METHODS
70 cases with zygomatic fracture were entered into the study. The clinical data of 65 patients who were performed operations in the treatment were analyzed. The study focused on the incision, number and locations of Titanium plate. The facial contour, reduction,fixation, healing of incision, facial bisymmetry and complications of the operation were followed up 3 - 24 months after surgery.


RESULTS
All the incisions were primary healing. Clinical and radiologic assessment of reduction was symmetric and stable in 91.5% of all cases, asymmetric in 8.5% of all cases. Subcutaneous hematoma happened in 5 cases, Ti plate exposure 1 in case, scalp scar width was more than 0.5 cm in 6 cases, frontal part or scalp paresthesia 8 cases.


CONCLUSIONS
Coronal scalp incision has advantages such as good exposure, precise removal of the bone block and good symmetry of both sides. RIF can improve the stability of fracture, promotes fracture healing and guarantees the rehabilitation of zygomatic complex. direct reduction and rigid internal fixation with Titanium microplate or miniplate are satisfactory in zygomatic fracture.
Department of Oral and Maxillofacial Surgery, School of Stomatology, Wuhan University, Wuhan 430079, China. dyj36330@hotmail.com
Yao-Jun
YJ
Dong
Qing-Bin
QB
Zhang
Zu-Bing
ZB
Li
Min-Xian
MX
Wei
Ji-Hong
JH
Zhao
Bo
B
Cheng
D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014025:Titanium; D015051:Zygomatic Fractures / Q000601:surgery*
D014025:Titanium