Coronal incision for treating zygomatic complex fractures.
OBJECTIVE
To study the value of coronal incisions for treating zygomatic complex fractures.


METHODS
A retrospective study was conducted on 69 out of 83 patients regarding the indications and complications of scalp incisions for treating zygomatic complex fractures (the other 14 patients were treated by local incisions and approaches).


RESULTS
In the early postoperative period, 5 patients suffered from haemorrhage, 2 had infections, 24 patients reported immediate postoperative anaesthesia and paraesthesia affecting the supraorbital region. Six had symptoms and signs of facial nerve injury: difficulty with wrinkling the forehead or to closing the eyes. After a follow-up of 3-5 years, 6 cases suffered from a scar wider than 0.5 cm, paraesthesia in 2 cases (parietal region and temporal region), depression of the temporal fossa in 2 and 1 patient had (persistent) palsy of the temporal branch of the facial nerve.


CONCLUSIONS
On one hand, coronal incisions offer advantages such as: extensive exposure to ensure exact anatomical reduction. On the other hand, this incision has disadvantages such as obvious scars, long operating time, infections, haemorrhage, paraesthesia in the operative region, palsy of the facial nerve and depression of the temporal fossa. Therefore, the indications for coronal incisions should be strictly applied, and this incision should not be overused.
Department of Oral and Maxillofacial Surgery, School of Stomatology, Wuhan University, Wuhan City, People's Republic of China.
Qing-Bin
QB
Zhang
Yao-Jun
YJ
Dong
Zu-Bing
ZB
Li
Ji-Hong
JH
Zhao
D000293:Adolescent; D000328:Adult; D000368:Aged; D020220:Facial Nerve Injuries / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010292:Paresthesia / Q000209:etiology*; D011183:Postoperative Complications; D011859:Radiography; D012189:Retrospective Studies; D015051:Zygomatic Fractures / Q000000981:diagnostic imaging / Q000601:surgery*