Zygomatic Arch Fracture

Kim, Jiye; S, Kim; Chung, Sung‐Kee; Chung, Yoon Kyu

doi:10.1097/scs.0000000000000864

Cited by 23 publications

(15 citation statements)

References 14 publications

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“…All were specific to one type of facial deformity. Twenty were for the classification of trauma: 12 for bony trauma, [13][14][15][16][17][18][19][20][21][22][23][24] 4 for both bony and soft tissue trauma, [25][26][27][28] one for soft tissue trauma only, 29 and 3 for ocular trauma. [30][31][32] Other classification systems identified included 8 for paralysis, [33][34][35][36][37][38][39][40] 4 for scarring, [41][42][43][44] 2 for facial reconstruction, 45,46 2 for lipodystrophy, 47,48 2 for microtia, 49,50 2 for other ear deformities, 51,52 1 for burns, 53 and one for adult cleft lip/palate.…”

Section: Search Strategy and Resultsmentioning

confidence: 99%

Assessing Adult Patients with Facial Deformities for Injectable Treatment: Do Current Classification Systems and Methodologies Meet Important Patient Needs?

Chantrey¹,

Ryder²

2022

Dermatol Surg

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BACKGROUND Many individuals are affected by facial deformities. Injectable aesthetic treatments can often be used to improve appearance and/or dynamic function. However, to best meet the needs of these patients, broadly applicable methodologies are required for classifying the deformity, assessing severity, and developing a treatment strategy. OBJECTIVE To assess whether any published systems could be used for this purpose. METHODS Thirty-eight searches were conducted in PubMed (1999–2019; in English). Forty-two publications were identified describing novel classification systems for adult facial deformity. They were analyzed against a checklist of 10 characteristics defining an “optimal” system—based on appropriate anatomical coverage, wide usability across types of deformity, user-friendliness, applicable underlying methodology, and ability to guide treatment with injectables. RESULTS None of the systems met more than 7 of the 10 checklist criteria; none were usable across multiple types of deformity or provided a recommendation for treatment with injectables. CONCLUSION There remains a need for a broadly applicable system for classifying adult facial deformities ahead of injectable therapy. The checklist provides a developmental framework. With the increasing popularity and accessibility of injectables, this diverse and complex demographic is at risk of mismanagement without superior methods for devising treatment strategies.

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Section: Search Strategy and Resultsmentioning

confidence: 99%

Assessing Adult Patients with Facial Deformities for Injectable Treatment: Do Current Classification Systems and Methodologies Meet Important Patient Needs?

Chantrey¹,

Ryder²

2022

Dermatol Surg

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“…The most frequent cause of admission of zygomatic arch fractures is obvious depression and/or limitation in mouth opening, that can be observed in approximately 45% of zygomatic arch fractures, 6 which is the result of the seizing up of the coronoid process to the displacing part of the zygomatic arch inward during opening of the mouth 6,7 . Furthermore, the mandible is deviated to the fractured side during the opening of the mouth.…”

Section: Discussionmentioning

confidence: 99%

“…Various intraoral and extraoral approaches have been used as closed reduction techniques in isolated zygomatic arch fractures. The Gillies methods, first described by Gillies et al 4 in 1927, have been used as a closed reduction technique for zygomatic arch fractures 6 . Keen technique (the buccal sulcus approach), 8 the lateral coronoid approach, 9 the eyebrow elevation approach, 10 and the percutaneous approach 11 have been used as closed reduction techniques in zygomatic arch fractures.…”

Section: Discussionmentioning

confidence: 99%

Closed Isolated Zygomatic Arch Fracture Management Made Easy

Estawrow

Elbarbary

2021

Journal of Craniofacial Surgery

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Surgical removal of osteoma in craniofacial region is suggested when it causes pain, chronic inflammation, while surgical intervention is not required in case of asymptomatic osteomas. 19 However, surgical intervention could be needed for cosmetic reasons in prominent facial regions, such as the forehead and zygomatic body. 4,20 Osteomas of these regions used to be surgically removed by direct approach. 21 However, this approach inevitably causes a visible scar and we should consider the patients' concern because they undergo surgical treatment for cosmetic reasons, not for functional reasons.Several studies reported that the endoscopic approach was evaluated safe and effective surgical choice in craniofacial region. 22 In forehead osteoma, endoscopic-assisted surgical techniques allow safe removal of lesion with excellent cosmetic outcomes. 20 Similar techniques are also useful for removal of osteoma in other craniofacial region. In 3 cases of osteoma of zygomatic body, surgical resections were performed using extraoral approach in 2 cases 11,17 and intraoral approach in 1 case. 18 If the lesion is located on the inferior part of the zygomatic bone, an intraoral approach can be an good option. However, if the lesion is on the superior part of zygomatic bone as observed in our patient, it is difficult to access properly due to the convexity of the zygoma, so an endoscopic approach is advantageous. In addition, our patient did not want a facial scar and we decided to use an endoscopic approach for surgical resection. We could achieve satisfactory results with no complications in this case. To the best of our knowledge, this is the first report of zygomatic osteoma that was endoscopically removed. The use of the endoscopic approach is appropriate to obtain good aesthetic results and prevent an accidental injury to the neurovascular structures in zygomatic area.

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“…6 comminuted zygomatic bone and zygomatic arch fractures generally require open reduction and fixation to achieve good results. [7][8][9][10][11] For particularly experienced surgeons, some comminuted fractures can even be reduced intraorally using the Keen approach. For patients with high requirements for facial symmetry, open reduction and internal fixation may be an ideal solution.…”

mentioning

confidence: 99%

“…Reduction is usually performed through the Gillies approach or Keen approach 6. comminuted zygomatic bone and zygomatic arch fractures generally require open reduction and fixation to achieve good results 7-11. For particularly experienced surgeons, some comminuted fractures can even be reduced intraorally using the Keen approach.…”

mentioning

confidence: 99%

Design and Use of a Pair of Computer-Designed Surgical Templates in Reduction of a Comminuted Zygomatic Arch Fracture

Lin¹,

Zhou

et al. 2022

Journal of Craniofacial Surgery

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Background: Isolated depressed zygomatic arch fractures are often treated with closed reduction. Reduction is usually performed through the Gillies approach or Keen approach. comminuted zygomatic arch fractures generally require open reduction and fixation to achieve good results. This article describes how to use a pair of surgical templates to assist in the fixation of comminuted zygomatic arch fractures with absorbable plates. Methods: A pair of computer-designed surgical templates were applied to restore the main part of zygomatic arch. Placing a surgical template on the medial side of the zygomatic arch can provide a supporting force and improves the stability of the reduced bone fragments. The lateral template of zygomatic arch limits the excessive uplift of bone fragments. Results and Discussion: The operation was performed according to the predetermined procedure. Postoperative computed tomography showed satisfactory reduction effect. In conclusion, with the aid of surgical templates, the reduction and fixation of comminuted zygomatic arch fractures can be more easily performed using absorbable plates.

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Zygomatic Arch Fracture

Cited by 23 publications

References 14 publications

Assessing Adult Patients with Facial Deformities for Injectable Treatment: Do Current Classification Systems and Methodologies Meet Important Patient Needs?

Assessing Adult Patients with Facial Deformities for Injectable Treatment: Do Current Classification Systems and Methodologies Meet Important Patient Needs?

Closed Isolated Zygomatic Arch Fracture Management Made Easy

Design and Use of a Pair of Computer-Designed Surgical Templates in Reduction of a Comminuted Zygomatic Arch Fracture

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