Devakumari S, Dominic Neil, Vijhayapriya T, Dinesh D S, Devameena S
Department of Dentistry, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Department of Ophthalmology, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Craniomaxillofac Trauma Reconstr. 2022 Mar;15(1):12-20. doi: 10.1177/1943387521989550. Epub 2021 Jan 27.
Retrospective cross-sectional study.
The objective of this retrospective study was to evaluate the clinical outcomes of Modified temporal incision in the management of zygomatic arch fractures (ZAF).
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.
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.
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.
回顾性横断面研究。
本回顾性研究的目的是评估改良颞部切口在颧弓骨折（ZAF）治疗中的临床效果。
检索2011年至2018年间34例行颧弓骨折切开复位术患者的记录并纳入研究。这些患者分别在术后4周、8周和12周进行随访。分析记录的临床参数，如术后感染、血肿、瘢痕形成、开口度、接骨板可触及情况、脱发以及面神经颞支麻痹等，以评估改良颞部切口治疗ZAF的并发症。
对临床参数的全面分析显示，在4周时，4例患者出现瘢痕形成，21例患者出现面神经颞支麻痹。所有患者均未出现血肿、感染或接骨板可触及情况。在8周时，记录到的唯一并发症是21例患者出现面神经颞支麻痹。到12周时，所有患者均完全恢复，无一例患者出现面神经颞支麻痹。
所得结果证明改良颞部切口可被视为治疗颧弓骨折的可靠方法。在合适的颧弓骨折病例中可放心采用该切口，且不会导致任何永久性并发症。
