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The ‘Manchester’ method of minimal access fixation of the zygomatic arch in zygomatic complex fractures: a case series
Abstract
We have introduced a minimally invasive approach for the fixation of the zygomatic arch during the surgical management of zygomatic complex fractures. Access for this technique is provided by a preauricular approach and eyelid incisions with the addition of transcutaneous stab incisions overlying the arch. These stab incisions allow transcutaneous drilling and screw placement through a size CH 20 (5.0 mm) paediatric nasopharyngeal airway (NPA). We present a case series of seven patients. In all patients the arch component was successfully reduced and fixed, and no intraoperative or postoperative complications were observed. The use of an NPA is novel. It functions as a flexible self-irrigating sleeve and protects the skin from mechanical and thermal damage. The technique uses readily available equipment, is easy to learn, and simplifies surgery to the zygomatic arch.
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References 13
Research works printed but not linked: 9
- Akdag, 2019, Endoscopic-assisted zygomatic arch fracture repair with a preauricular approach, Plast Surg (Oakv), 27, 107, 10.1177/2292550318800327 · DOI · Paper page
- Li, 2015, Applications of computer-assisted navigation for the minimally invasive reduction of isolated zygomatic arch fractures, J Oral Maxillofac Surg, 73, 1778, 10.1016/j.joms.2015.03.033 · DOI
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- Kambalimath, 2023, Retrospective analysis of management of zygomatic complex fractures, The Traumaxilla, 5, 20, 10.1177/26323273231172739 · DOI
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- Xie, 2009, Modification of surgical technique in isolated zygomatic arch fracture repair: seven case studies, Int J Oral Maxillofac Surg, 38, 1096, 10.1016/j.ijom.2009.05.004 · DOI · Paper page
- Chen, 2012, A modified preauricular-temporal approach for fixing comminuted and redisplaced zygomatic arch fractures with the resorbable bone plate, Chin J Traumatol, 15, 288
- Giudice, 2020, Percutaneous reduction of isolated zygomatic arch fractures: a 5-year experience, J Oral Maxillofac Surg, 78, 973, 10.1016/j.joms.2020.02.002 · DOI
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Metadata
- Authors
- Khandavilli, S. D., Cole-Healy, Z., & Douglas, A.
- Affiliations
- Manchester Royal Infirmary (GB)
- James Cook University Hospital (GB)
- Corresponding author
- Cole-Healy, Zachary
- Venue
- British Journal of Oral and Maxillofacial Surgery
- Publisher
- Elsevier BV
- Published
- 2024-04
- Volume
- 62
- Issue
- 5
- Pages
- 493-497
- ISSN
- 0266-4356 (ISSN-L)
- OpenAlex
- W4395686224
- Cited by
- 0
- References
- 13
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Oral and Maxillofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Facial Trauma and Fracture Management
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Spinal Fractures and Fixation Techniques
- Keywords
- zygomatic complex fractures, minimally invasive surgery, preauricular approach, screw placement, facial trauma surgery
- MeSH terms
- Adolescent, Adult, Bone Screws, Female, Fracture Fixation, Internal, Humans, Male, Middle Aged, Zygoma, Zygomatic Fractures, Minimally Invasive Surgical Procedures, Young Adult
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- CoChat. (2026). Citation check: The ‘Manchester’ method of minimal access fixation of the zygomatic arch in zygomatic complex fractures: a case series. https://app.cochat.ai/papers/10.1016/j.bjoms.2024.04.010
- The paper
- Khandavilli, S. D., Cole-Healy, Z., & Douglas, A. (2024). The ‘Manchester’ method of minimal access fixation of the zygomatic arch in zygomatic complex fractures: a case series. British Journal of Oral and Maxillofacial Surgery. https://doi.org/10.1016/j.bjoms.2024.04.010
