[Complications of supratemporalis approach with scalp coronal incision for orbital-zygomatic fracture].
OBJECTIVE
This study aimed to examine the complications of supratemporalis approach with scalp coronal incision for the treatment of orbital-zygomatic fractures.


METHODS
A total of 206 patients with orbital-zygomatic fractures were treated with scalp coronal incision through the supratemporalis approach. The effects and complications of the treatment were analyzed.


RESULTS
The degree of fracture of the 206 patients was successfully reduced. The facial morphologies and functions were improved. No facial nerve injury was observed in all of the cases. However, the following complications were noted: fossa introcession in 1 case, forehead scalp pain or paresthesia in 11 cases, incision infection in 1 case, subcutaneous hematoma in 1 case, incision scar in 5 cases, and alopecia in 3 cases.


CONCLUSIONS
The supratemporalis approach prevents facial nerve injury and does not increase the frequency of other complications. Therefore, this approach can be applied as a routine and safe procedure in clinical settings.  .
State Key Laboratory of Oral Diseases, Dept. of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;Dept. of Stomatology, The Third People's Hospital of Shizuishan, Shizuishan 753400, China.
Wang
W
Yanan
State Key Laboratory of Oral Diseases, Dept. of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;The Third Affiliated Hospital, Xinxiang Medical College, Xinxiang 453000, China.
Huang
H
Yanli
State Key Laboratory of Oral Diseases, Dept. of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Dilnur
D
Dilxat
State Key Laboratory of Oral Diseases, Dept. of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Liu
L
Weilong
State Key Laboratory of Oral Diseases, Dept. of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Li
L
Hui
State Key Laboratory of Oral Diseases, Dept. of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Wang
W
Yi
State Key Laboratory of Oral Diseases, Dept. of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Liu
L
Lei
D005145:Face; D006406:Hematoma; D006801:Humans; D009917:Orbital Fractures; D012535:Scalp; D000072836:Surgical Wound; D015051:Zygomatic Fractures
complication; facial nerve injury; orbital-zygomatic fracture; scalp coronal incision; supratemporalis approach