A Modified Temporal Incision: An Alternative Approach to the Zygomatic Arch

Prakasam, Michael; Dolas, R. S.; Managutti, Anil; Deepashri, K.

doi:10.1007/s12663-010-0136-2

Cited by 9 publications

(7 citation statements)

References 9 publications

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“…Ozyazgan et al 1 advised surgical intervention for Type-I-B(D) and Type-II-B(D).Open reduction of ZAF were routinely done by coronal, hemi-coronal, preauricular, modified preauricular, anterior temporal hairline incision 24 and modified temporal incision. 25…”

Section: Discussionmentioning

confidence: 99%

Modified Temporal Incision for the Management of Zygomatic Arch fractures—A Retrospective Study for 7 Years

Devakumari

Dominic

Vijhayapriya

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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Study Design: Retrospective cross-sectional study. Objective: The objective of this retrospective study was to evaluate the clinical outcomes of Modified temporal incision in the management of zygomatic arch fractures (ZAF). Patients and Methods: Records of 34 patients who underwent open reduction for zygomatic arch fractures were retrieved and included in the study between 2011 and 2018. These patients were followed up at 4 weeks, 8 weeks and 12 weeks respectively. Clinical parameters such as post-operative infection, hematoma, scarring, degree of mouth opening, palpability of plates, alopecia and weakness of temporal branch of Facial nerve recorded were analyzed for complications of modified temporal incision in the management of ZAF. Results: A thorough analysis of the clinical parameters revealed that at the end of 4 weeks scarring was present in 4 patients and temporal branch of Facial nerve weakness was present in 21 patients. None of the patients had hematoma, infection or palpability of miniplates. At the end of 8 weeks the only complication recorded was weakness of temporal branch of Facial nerve in 21 patients. By 12 weeks, all patients had complete recovery and none of the patient had weakness of temporal branch of Facial nerve. Conclusion: The results obtained proved that the Modified temporal incision can be considered as a reliable method in the management of zygomatic arch fractures. The incision can be adopted with confidence in suitable cases of zygomatic arch fractures without any permanent morbidity.

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Section: Discussionmentioning

confidence: 99%

Modified Temporal Incision for the Management of Zygomatic Arch fractures—A Retrospective Study for 7 Years

Devakumari

Dominic

Vijhayapriya

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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“…The superimposition of the anatomic structures located at the site of the infratemporal, temporal, and pterygopalatine fossa may disorient the diagnosis in the case, hence to determine the precise and detailed location of the dislodged tooth computed tomography examination is needed. [ 15 16 17 ]…”

Section: Discussionmentioning

confidence: 99%

“…To prevent further dislocation of tooth, digital pressure was applied in orbital area and the tooth was retrieved. [ 14 16 21 ]…”

Section: Discussionmentioning

confidence: 99%

Removal of displaced maxillary third molar using modified gillie's temporal approach

Shruthi

Shetty

Imran

et al. 2020

Ann Maxillofac Surg

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Tooth impaction is a pathological situation where a tooth is unable to achieve its normal functional position within the expected time span. The removal may be associated with intra-operative or post-operative complications. The Le Fort I osteotomy is a procedure used by maxillofacial surgeons to correct a wide range of dentofacial deformities. Due to its versatility and simplicity, it has gained popularity for a wide range of uses. This case report describes the location and surgical removal of a right maxillary third molar which was accidentally displaced into the infratemporal fossa in a 26-year-old female while performing Le Fort I osteotomy. The patient underwent a second surgery for the retrieval of tooth using modified Gillie's temporal approach. The important role of the cone beam computed tomography in determining the localization of the displaced tooth is demonstrated.

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“…This bone is formed by the temporal process of the zygomatic bone (anterior two-thirds) and the zygomatic process of the temporal bone (posterior one-third). In addition, the posterior end of the zygomatic arch is attached to the squamous part of the temporal bone by anterior and posterior roots [ 6 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…In particular, for comminuted malar fractures of the zygomatic arch, rigid internal fixation is often required. For complete access to the entire horizontal arc of the zygomatic arch, a bicoronal approach, preauricular approach, modified temporal incision, or an endoscopic temporal approach can be used [ 2 6 10 11 12 ]. Fixation of the arch to the temporal bone also allows for accurate reduction through these approaches [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical Follow-up on Sagittal Fracture at the Temporal Root of the Zygomatic Arch: Does It Need Open Reduction?

et al. 2013

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BackgroundThe zygoma is a major portion of the midfacial contour. When deformity occurs in this area, a reduction should be conducted to correct it. If a sagittal fracture at the temporal root of the zygomatic arch occurs, this also requires reduction, but it is difficult to approach due to its anatomical location, and the possibility of fixation is also limited. Thus, the authors attempted the reduction of sagittal fracture by two- or three-point fixation and the Gillies approach without direct manipulation. The preoperative and postoperative results of the patients were evaluated. Follow-up was performed to establish a treatment guideline.MethodsA retrospective study was done with 40 patients who had sagittal fractures at the temporal root of the zygomatic arch from March 2009 to June 2012. Only two- or three-point fixation was performed for the accompanying zygomatic-orbital-maxillary fracture. The Gillies approach was used for complex fractures of the zygomatic arch, while the temporal root of the zygomatic arch was only observed without reduction. Preoperative and postoperative computed tomography and X-ray scans were performed to examine the results.ResultsThe result of the paired t-test on preoperative and postoperative bone gap differences, the depression level, and the degree of temporal protrusion showed a marked decrease in the mean difference at a 95% confidence interval. The results were acceptable.ConclusionsIn the treatment of sagittal fractures at the temporal root of the zygomatic arch, it is acceptable to use indirect reduction and non-fixation methods. This leads to a satisfactory aesthetic and functional outcome.

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A Modified Temporal Incision: An Alternative Approach to the Zygomatic Arch

Cited by 9 publications

References 9 publications

Modified Temporal Incision for the Management of Zygomatic Arch fractures—A Retrospective Study for 7 Years

Modified Temporal Incision for the Management of Zygomatic Arch fractures—A Retrospective Study for 7 Years

Removal of displaced maxillary third molar using modified gillie's temporal approach

Clinical Follow-up on Sagittal Fracture at the Temporal Root of the Zygomatic Arch: Does It Need Open Reduction?

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