Open AccessClosed reduction with minimal accesses for treating isolated zygomatic arch fractures: Case Series
Author(s) -
Maelly Vicente Lôbo,
Yasmin Lima Nascimento,
Taysnara Ismaeley de Andrade,
Kaiane Tavares Pontes,
Joelma Silva de Andrade,
Luandson Nunes dos Santos Barbosa,
Ilberto Cândido de Souza,
Diogo Luiz Bastos Brainer
Publication year - 2021
Publication title -
research, society and development
Language(s) - English
Resource type - Journals
ISSN - 2525-3409
DOI - 10.33448/rsd-v10i6.15792
Subject(s) - zygomatic arch , reduction (mathematics) , medicine , zygomatic fractures , internal fixation , fixation (population genetics) , surgery , orthodontics , dentistry , mathematics , population , geometry , environmental health
Following nasal fractures, zygomatic fractures (ZF) are the second most prevalent of maxillofacial fractures. Isolated fractures of the zygomatic arch (IZAF) are rare, corresponding to less than 10% of all fractures involving the zygomatic-maxillary complex (ZMC). The choice of treatment for IZAF is controversial, and there is no defined consensus in the literature. We seek to evaluate the advantages of closed reductions with minimal accesses over open reductions through a case series and a 10-year literature review. All patients in our study obtained a satisfactory final result in terms of aesthetics and function of the zygomatic arch, with no complications involved. There are criteria established in the current literature on the indication of open surgery or closed reduction. Open reduction with rigid fixation has the most significant number of studies proving its clinical efficacy. However, closed reduction with minimal accesses has proven to be a suitable therapeutic option for IZAF, presenting satisfactory aesthetic results and fewer surgical risks.