Plastic and Maxillofacial Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
J Craniofac Surg. 2022 Jun 1;33(4):e388-e390. doi: 10.1097/SCS.0000000000008237. Epub 2021 Sep 24.
Zygomatic arch fractures can occur either as isolated fractures or as a part of multiple facial fractures. There are several techniques available for reduction of zygomatic arch fractures, which include closed reduction and open reduction with fixation using metallic splints, closed reduction via Gillies or a gingivobuccal approach is preferred for minimal invasiveness, short operative time, and low complication rate. The aim of the present study is to present a simple, easy, and reliable method for closed reduction of isolated zygomatic arch fractures.
This study included twenty patients presented with isolated zygomatic arch fractures between January of 2017 and December of 2018. All patients were evaluated based on the clinical and radiographic findings. Closed reduction of the zygomatic arches was carried on by a stainless steel wire. Surgical outcomes were subjected for objective assessment based on the postoperative alignment of the zygomatic arch in the computed tomography (CT scan) immediately after surgery and after 3 months. Subjective evaluation was carried out comparing preoperative, 1 and 3 months photographs assessing facial symmetry, as well as the patients' satisfaction.
After a period of 3 to 6 months follow-up between January 2017 and December 2019, all patients were satisfied by the overall results, no major complications were recorded and no additional surgery needed for them.
The suture wire method is quick, simple, easy, and effective for the reduction of isolated, depressed fractures of the zygomatic arch.
颧骨骨折可单独发生，也可作为多发性面骨骨折的一部分。有几种技术可用于颧骨骨折的复位，包括闭合复位和开放式复位并用金属夹板固定，通过 Gillies 或牙龈颊部入路的闭合复位因其微创性、手术时间短和并发症发生率低而更受欢迎。本研究旨在介绍一种简单、易用且可靠的闭合复位治疗孤立性颧骨骨折的方法。
本研究纳入了 2017 年 1 月至 2018 年 12 月期间就诊的 20 例孤立性颧骨骨折患者。所有患者均根据临床和影像学检查结果进行评估。通过不锈钢丝进行颧骨的闭合复位。术后立即和术后 3 个月的 CT 扫描评估颧骨的术后对线，对手术结果进行客观评估。通过比较术前、术后 1 个月和 3 个月的照片评估面部对称性以及患者满意度进行主观评估。
2017 年 1 月至 2019 年 12 月期间，随访 3 至 6 个月后，所有患者对整体结果均满意，未记录到重大并发症，也无需进行额外手术。
缝线法是一种快速、简单、易用且有效的治疗孤立性、凹陷性颧骨骨折的方法。
