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Article

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

by
S. Devakumari
1,
Neil Dominic
1,*,
T. Vijhayapriya
2,
D. S. Dinesh
3 and
S. Devameena
4
1
Department of Dentistry, Indira Gandhi Medical College and Research Institute, Puducherry 605009, India
2
Department of Ophthalmology, Indira Gandhi Medical College and Research Institute, Puducherry, India
3
Department of Conservative Dentistry and Endodontics, Sri Venkateswara Dental College and Hospital, Ariyur, Puducherry, India
4
Department of Prosthodontics and Crown and Bridge, Sri Venkateswara Dental College and Hospital, Ariyur, Puducherry, India
*
Author to whom correspondence should be addressed.
Craniomaxillofac. Trauma Reconstr. 2022, 15(1), 12-20; https://doi.org/10.1177/1943387521989550
Submission received: 1 November 2020 / Revised: 1 December 2020 / Accepted: 1 January 2021 / Published: 27 January 2021

Abstract

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.
Keywords: zygomatic arch; zygoma; open reduction and internal fixation; temporal incision; trismus; coronal incision zygomatic arch; zygoma; open reduction and internal fixation; temporal incision; trismus; coronal incision

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MDPI and ACS Style

Devakumari, S.; Dominic, N.; Vijhayapriya, T.; Dinesh, D.S.; Devameena, S. Modified Temporal Incision For the Management of Zygomatic Arch Fractures—A Retrospective Study for 7 Years. Craniomaxillofac. Trauma Reconstr. 2022, 15, 12-20. https://doi.org/10.1177/1943387521989550

AMA Style

Devakumari S, Dominic N, Vijhayapriya T, Dinesh DS, Devameena S. Modified Temporal Incision For the Management of Zygomatic Arch Fractures—A Retrospective Study for 7 Years. Craniomaxillofacial Trauma & Reconstruction. 2022; 15(1):12-20. https://doi.org/10.1177/1943387521989550

Chicago/Turabian Style

Devakumari, S., Neil Dominic, T. Vijhayapriya, D. S. Dinesh, and S. Devameena. 2022. "Modified Temporal Incision For the Management of Zygomatic Arch Fractures—A Retrospective Study for 7 Years" Craniomaxillofacial Trauma & Reconstruction 15, no. 1: 12-20. https://doi.org/10.1177/1943387521989550

APA Style

Devakumari, S., Dominic, N., Vijhayapriya, T., Dinesh, D. S., & Devameena, S. (2022). Modified Temporal Incision For the Management of Zygomatic Arch Fractures—A Retrospective Study for 7 Years. Craniomaxillofacial Trauma & Reconstruction, 15(1), 12-20. https://doi.org/10.1177/1943387521989550

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