Akdag Osman, Guray Evin Seyda, Isik Cemil, Tosun Zekeriya
Department of Plastic Surgery, Selcuk University, Konya, Turkey.
Plast Surg (Oakv). 2019 May;27(2):107-111. doi: 10.1177/2292550318800327. Epub 2018 Oct 4.
Because of numerous negative sequelae with open techniques, endoscopic techniques are beginning to be widely used for maxillofacial fractures. Many endoscopic approaches for this area have been described according to several dissection plans and incisions. The aim of the present study was to report a new surgical incision and dissection method for zygomatic arch fracture that aims at reducing the complication rate of previously defined techniques.
The authors operated on 8 patients with a new endoscopic-assisted surgical technique. This study focused on evaluating the complication rate and surgical comfort of these patients.
Of the 8 patients, the plate was palpable in the zygomatic arch in one. No complications occurred due to this technique during the 1-year follow-up. Symmetrical facial contour and inconspicuous scars were obtained in all patients. Average operative time was 3 hours; hospitalization time was 1.6 days.
This study demonstrates that an endoscopic-assisted surgical approach with a preauricular mini-incision can be safely performed in isolated multifragment zygomatic arch fractures. Using individually designed plates improved our results. This technique is easy to apply, its cosmetic results are good, and its complication rate is low.
由于开放技术存在诸多不良后遗症，内镜技术开始广泛应用于颌面骨折。根据多种解剖方案和切口，已经描述了该区域的多种内镜入路。本研究的目的是报告一种用于颧弓骨折的新手术切口和解剖方法，旨在降低先前确定技术的并发症发生率。
作者采用一种新的内镜辅助手术技术对8例患者进行了手术。本研究重点评估这些患者的并发症发生率和手术舒适度。
8例患者中，有1例在颧弓处可触及钢板。在1年的随访期间，该技术未引发并发症。所有患者均获得了对称的面部轮廓和不明显的瘢痕。平均手术时间为3小时；住院时间为1.6天。
本研究表明，对于孤立的多段颧弓骨折，采用耳前小切口的内镜辅助手术方法可安全实施。使用个性化设计的钢板改善了我们的手术效果。该技术易于应用，美容效果良好，并发症发生率低。
