How do you reduce zygomatic arch?
Several methods have been described to reduce isolated zygomatic arch fractures. Most of them are based on direct transcutaneous approach (with a malar hook, towel clip, or wire sutures), Gillies temporal approach, or intra-oral Keen approach.
What is Zygomaticomaxillary complex?
The zygomaticomaxillary complex (ZMC) is a major buttress of the midfacial skeleton. The ZMC is important to structural, functional, and aesthetic appearances of the facial skeleton. A ZMC fracture is also known as a tripod, tetrapod, or quadripod fracture, trimalar fracture or malar fracture [1,2].
What happens if the zygomatic bone is damaged?
Fractures of the ZMC or zygomatic arch can often lead to unsightly malar depression, which should be corrected to restore a normal facial contour. ZMC fractures can also cause significant functional issues, including trismus, enophthalmos and/or diplopia, and paresthesias of the infraorbital nerve.
What is zygomatic arch fracture?
Zygomatic arch fractures After the nasal bone, the zygoma is the second most common bone of the face to be fractured. The group at highest risk is young males. Aetiology is usually blunt trauma to the cheek, such as involved in: Assault. Road traffic accidents.
What is Gillies approach?
Temporal (Gillies) approach – Skin incision The Gillies technique describes a temporal incision (2 cm in length), made 2.5 cm superior and anterior to the helix, within the hairline. A temporal incision is made. Care is taken to avoid the superficial temporal artery.
Is the zygomatic bone weak?
The frontozygomatic and zygomaticotemporal sutures are particularly weak and susceptible to disruption. In the Kaban et al. retrospective study, there were 51 zygomatic fractures, of which two thirds involved the zygomatic-maxillary complex and one third involved the zygomatic arch alone.
What is malar tripod?
Zygomaticomaxillary complex (ZMC) fractures, also known as tripod, tetrapod, quadripod, malar or trimalar fractures, are seen in the setting of traumatic injury to the face.
What is a Gillies lift?
The Gillies technique describes a temporal incision (2 cm in length), made 2.5 cm superior and anterior to the helix, within the hairline. A temporal incision is made. Care is taken to avoid the superficial temporal artery.
How long does it take for a zygomatic bone to heal?
Cheekbone fractures rarely get infected, so you will not usually need antibiotics. Swelling and bruising can be reduced by using cold packs and sleeping propped up for the first few days. Even if you have plates and screws to hold your cheekbone in place, it still takes about six weeks for the bone to heal completely.
Why is the zygomatic arch important?
The zygomatic arch plays a critical role in the mammalian masticatory system. Formed by the union of the zygomatic process of the temporal bone and the temporal process of the zygomatic bone, it is from this beam-like structure that the masseter muscle, a major jaw adductor, originates.
What is a Transantral approach?
A transantral approach allows access to the orbital floor via the maxillary sinus. This approach may be especially useful when repairing a floor fracture of the trap door variety. Achieve exposure of the incision site with upper labial retraction exposing the buccal-gingival sulcus.
How do you fix a zygomatic arch fracture?
Surgical intervention is an effective treatment modality of depressed zygomatic complex fractures, whereas a nonsurgical approach is often used for nondisplaced fractures. Most zygomatic complex fractures can be treated solely by an intraoral approach and rigid fixation at the zygomaticomaxillary buttress.