Comparison of Curative Effects and Complications between Endoscope-assisted Treatment and Scalp Coronal Incision for Zygomatic Complex Fractures_West China Medical Journal

Authors：

 SUNDe-ping , WUWu , WENSheng , LIANGXiao-yu , CHENYu-ren , ZHANGHong

Department of Otolaryngology-Head and Neck Surgery, Daxian People's Hospital, Dazhou, Sichuan 635000, P. R. China;

Corresponding author：

Keywords：

Endoscopes; Zygomatic fracture; Surgical procedures,minimally invasive; Improving looks

DOI：

10.7507/1002-0179.20150637

Video：

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Objective To compare the curative effects and complications between endoscope-assisted treatment and scalp coronal incision for zygomatic complex fractures. Method Fifty zygomatic complex fracture patients treated between January 2008 to May 2014 were randomly divided into trial group (n=30) treated through endoscope-assisted procedure and control group (n=20) treated through scalp coronal incision. In the trial group, functional reduction and fixation of the fractures under endoscope were performed, and the control group was treated with coronal incision and internal fixation of the fractures. After the operation, all the patients were evaluated on the effects and complications through physical examination and CT review. Results The number of grade-Ⅰ, -Ⅱ and-Ⅲ curative effects were respectively 24 (80.0%), 5 (16.7%), and 1 (3.3%) in the trial group, while those numbers in the control group were respectively 16 (80.0%), 3 (15.0%), and 1 (5.0%). There was no significant difference in the curative effects between the two groups (P>0.05). There were no cases of complications in the trial group, but there were 4 cases (20.0%) of facial nerve injury, 5 cases (25.0%) of hair loss, 4 cases (20.0%) of temporal sag, and 5 cases (25.0%) of scalp hematoma in the control group. The complication rate in the control group was significantly higher than that in the trial group (P<0.05). Conclusions While the curative effects between endoscope-assisted treatment and scalp coronal incision for zygomatic complex fractures are not significantly different, endoscope-assisted technology can reduce the complications of the operation, which is a minimally invasive surgery and can promote good aesthetic appearance.

Citation： SUNDe-ping, WUWu, WENSheng, LIANGXiao-yu, CHENYu-ren, ZHANGHong. Comparison of Curative Effects and Complications between Endoscope-assisted Treatment and Scalp Coronal Incision for Zygomatic Complex Fractures. West China Medical Journal, 2015, 30(12): 2217-2221. doi: 10.7507/1002-0179.20150637 Copy

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1. 邱蔚六. 口腔颌面外科学[M]. 6版. 北京:人民卫生出版社, 2008:203.
2. 程瑞修, 黄良平, 王玉刚, 等. 经头皮冠状切口行颧骨骨折切开复位治疗体会[J]. 口腔医学, 2003, 23(2):119-120.
3. Adam AA, Zhi L, Bing LZ, et al. Evaluation of treatment of zygomatic bone and zygomatic arch fractures:a retrospective study of 10 years[J]. J Maxillofac Oral Surg, 2012, 11(2):171-176.
4. 李祖兵. 口腔颌面创伤外科学[M]. 北京:人民卫生出版社, 2011:331-337.
5. 尹刚. 颧骨复合体骨折手术路径探讨[J]. 口腔颌面外科杂志, 2012, 22(3):205-207.
6. Thangavelu K, Ganesh NS, Kumar JA, et al. Evaluation of the lateral orbital approach in management of zygomatic bone fractures[J]. J Nat Sci Biol Med, 2013, 4(1):117-121.
7. 梁志成, 覃冠锻. 鼻内镜辅助下治疗颧骨颧弓骨折的术式探讨[J]. 中国内镜杂志, 2011, 17(8):837-839.
8. Zingg M, Laedrach K, Chen J, et al. Classification and treatment of zygomatic fractures:a review of 1,025 cases[J]. J Oral Maxillofac Surg, 1992, 50(8):778-790.
9. Rohrich RJ, Janis JE, Adams WP. Subciliary versus subtarsal approaches to orbitozygomatic fractures[J]. Plast Reconstr Surg, 2003, 111(5):1708-1714.
10. 丁旭宣, 吴俊伟, 彭国光, 等. 颌面部小切口径路在颧骨复合体骨折中的应用[J]. 中华口腔医学研究杂志:电子版, 2010, 1(3):296-299.
11. 东耀峻, 张清彬, 李祖兵, 等. 颧骨骨折复位径路与固定部位的临床研究[J]. 中华口腔医学杂志, 2004, 1(39):12-14.
12. Rana M, Warraich R, Tahir S, et al. Surgical treatment of zygomatic bone fracture using two points fixation versus three point fixation:a randomised prospective clinical trial[J]. Trials, 2012, 13(1):36.
13. Berci G, Forde KA. History of endoscopy[J]. Surg Endosc, 2000, 14(1):5-15.
14. Lee CH, Lee C, Trabulsy PP, et al. A cadaveric and clinical evaluation of endoscopically assisted zygomatic fracture repair[J]. Plast Reconstr Surg, 1998, 101(2):333-347.
15. 曾勇, 张萍, 李鹏飞, 等. 颧骨复合体骨折手术复位标志点三维测量的临床应用[J]. 口腔颌面外科杂志, 2013, 4(23):261-265.
16. 周树夏. 口腔颌面外科手术学[M]. 2版. 北京:人民军医出版社, 2004:137.
17. 丁晓梅, 黑玉娜, 铁铃, 等. 经口腔前庭入路解剖眶下神经血管束复位固定完全性颧骨骨折[J]. 宁夏医科大学学报, 2014, 1(36):13-15.
18. Sakavicius D, Juodzbalys G, Kubilius R, et al. Investigation of infraorbital nerve injury following zygomaticomaxillary complex fractures[J]. J Oral Rehabil, 2008, 35(12):903-916.

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West China Medical Journal

Comparison of Curative Effects and Complications between Endoscope-assisted Treatment and Scalp Coronal Incision for Zygomatic Complex Fractures

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