Qing-Bin Zhang1, Yao-Jun Dong, Zu-Bing Li, Ji-Hong Zhao. 1. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guangzhou Medical College, Guangzhou City, Guangdong Province, People's Republic of China. doctorqingbin@hotmail.com
Abstract
OBJECTIVE: The objective was to study the clinical application and effects of minimal incisions for treating zygomatic complex (ZMC) fractures. METHODS: A retrospective study was conducted on the 155 patients who underwent reduction of surgical injury by minimal incision for treating ZMC fractures. RESULTS: The outcomes after treatment were satisfactory functionally and aesthetically in most patients. The clinical results were good in 150 patients. No obvious scars were noticed in all the patients. After a follow-up of average 18 months, zygomatic asymmetry was present in 2 cases, numbness in the infraorbital area in 2 cases, and limitation of mouth opening in 1 patient. Plate removal was conducted in 3 patients. CONCLUSIONS: Repositioning of ZMC fractures via minimal incisions can get satisfactory results. With this kind of approach, the surgical injury can be reduced, and clear field of operation, convenient manipulation, less bleeding, high accuracy of reduction, and inconspicuous scar can be achieved as well. It is an ideal method and deserves to be recommended in clinical procedures.
OBJECTIVE: The objective was to study the clinical application and effects of minimal incisions for treating zygomatic complex (ZMC) fractures. METHODS: A retrospective study was conducted on the 155 patients who underwent reduction of surgical injury by minimal incision for treating ZMCfractures. RESULTS: The outcomes after treatment were satisfactory functionally and aesthetically in most patients. The clinical results were good in 150 patients. No obvious scars were noticed in all the patients. After a follow-up of average 18 months, zygomatic asymmetry was present in 2 cases, numbness in the infraorbital area in 2 cases, and limitation of mouth opening in 1 patient. Plate removal was conducted in 3 patients. CONCLUSIONS: Repositioning of ZMCfractures via minimal incisions can get satisfactory results. With this kind of approach, the surgical injury can be reduced, and clear field of operation, convenient manipulation, less bleeding, high accuracy of reduction, and inconspicuous scar can be achieved as well. It is an ideal method and deserves to be recommended in clinical procedures.
Authors: Guillaume Giran; Arnaud Paré; Benjamin Croisé; Carine Koudougou; Jacques Marie Mercier; Boris Laure; Pierre Corre; Hélios Bertin Journal: PLoS One Date: 2019-08-15 Impact factor: 3.240