Zygomatic Fractures
Conditions
Keywords
Zygomatic Arch, Fracture Fixation
Brief summary
In this study, a new method was proposed to calculate the length of sideburns mini incision for zygomatic arch fracture. The purpose of this study was to compare the sideburns mini incision calculated by this method with the coronal scalp incision, so as to determine the therapeutic effect and advantages of sideburns mini incision calculated by this method.
Detailed description
Eighty patients with zygomatic arch fracture were treated with surgical intervention. Forty patients were treated with sideburns mini incision, and the other forty patients were treated with coronal scalp incision. Data such as incision length, operation time and postoperative complications were recorded. The follow-up periods were 6 months.
Interventions
The investigators present a new method to calculate the shortest incision for zygomatic fracture, and use this method to calculate the sideburns mini incision for the surgical treatment of zygomatic arch fracture.
Coronal scalp incisions were used as control group.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Clinical and imaging diagnosis of zygomatic arch fracture or zygomatic maxillary complex fracture. 2. Fracture fragments are obviously displaced, which affects the appearance and function of the patient. Simple prying is instable and requires open reduction and internal fixation. 3. No previous surgical treatment.
Exclusion criteria
1. Accompanied by multiple fractures of mandible, nasal bone and so on. 2. There are traumatic scars in the operation area, which can be accessed through the original wound. 3. History of bone disease and / or wound healing disorders. 4. Mental and intellectual disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incision length | during the surgical procedure | Incision length for open reduction and internal fixation of zygomatic arch fractures. |
| Operative duration | from the beginning to the end of surgery | The length of time spent on operation. |
| Postoperative pain | 24 hours after surgery | Visual Analogue Scale was used to evaluate the burden of postoperative pain. The maximum score is 10, and the minimum score is 0. Higher scores represent more intense pain. |
| Postoperative stay | From the end of surgery until discharge, up to 15 days. After evaluation by the same chief knife physician, the patient recovered well postoperatively and could be discharged. | Days of postoperative hospital stay was calculated to evaluate patient recovery. |
| Postoperative adverse effects | from the end of surgery to 6 months after surgery | Including bleeding, malocclusion, infection, nerve injury, etc. |
Countries
China