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

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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. 口腔頜面外科學[M]. 6版. 北京:人民衛生出版社, 2008:203.
2. 程瑞修, 黃良平, 王玉剛, 等. 經頭皮冠狀切口行顴骨骨折切開復位治療體會[J]. 口腔醫學, 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. 口腔頜面創傷外科學[M]. 北京:人民衛生出版社, 2011:331-337.
5. 尹剛. 顴骨復合體骨折手術路徑探討[J]. 口腔頜面外科雜志, 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, 覃冠鍛. 鼻內鏡輔助下治療顴骨顴弓骨折的術式探討[J]. 中國內鏡雜志, 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, 吳俊偉, 彭國光, 等. 頜面部小切口徑路在顴骨復合體骨折中的應用[J]. 中華口腔醫學研究雜志:電子版, 2010, 1(3):296-299.
11. 東耀峻, 張清彬, 李祖兵, 等. 顴骨骨折復位徑路與固定部位的臨床研究[J]. 中華口腔醫學雜志, 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, 張萍, 李鵬飛, 等. 顴骨復合體骨折手術復位標志點三維測量的臨床應用[J]. 口腔頜面外科雜志, 2013, 4(23):261-265.
16. 周樹夏. 口腔頜面外科手術學[M]. 2版. 北京:人民軍醫出版社, 2004:137.
17. 丁曉梅, 黑玉娜, 鐵鈴, 等. 經口腔前庭入路解剖眶下神經血管束復位固定完全性顴骨骨折[J]. 寧夏醫科大學學報, 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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