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The “Double-channel, Tunnel-like” Approach for Managing Zygomatic Arch Fractures
Abstract
We propose a minimally invasive surgical approach for open reduction and internal fixation (ORIF) of zygomatic arch fractures. The incision is made within the preauricular hairline. A “double-channel tunnel-like” approach achieves complete exposure of the zygomatic arch without requiring any special instruments or auxiliary incisions. This enables precise reduction and robust fixation of zygomatic arch fractures under full direct visualization. A patient presenting with a left zygomatic arch fracture following a fall underwent closed reduction via Keen technique, which proved unsuccessful. Subsequently, zygomatic arch fracture reduction and fixation were achieved via a preauricular incision. Postoperative computed tomography revealed that the fracture had been satisfactorily reduced and fixed. The postoperative scar was inconspicuous, and no injury to the frontal branch of the facial nerve was observed. This technique significantly streamlines the surgical procedure for zygomatic arch fractures.
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References 19 · Cited by 2
Research works printed but not linked: 21
- Strong, 2017, Management of zygomaticomaxillary complex fractures, Facial Plast Surg Clin North Am, 25, 547, 10.1016/j.fsc.2017.06.006 · DOI
- Gruss, 1990, The importance of the zygomatic arch in complex midfacial fracture repair and correction of posttraumatic orbitozygomatic deformities, Plast Reconstr Surg, 85, 878, 10.1097/00006534-199006000-00008 · DOI
- Khandavilli, 2024, The ‘Manchester’ method of minimal access fixation of the zygomatic arch in zygomatic complex fractures: a case series, Br J Oral Maxillofac Surg, 62, 493
- Akdag, 2019, Endoscopic-assisted zygomatic arch fracture repair with a preauricular approach, Plast Surg (Oakv), 27, 107, 10.1177/2292550318800327 · DOI · Paper page
- 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
- Holmes, 1989, Three-point alignment of zygoma fractures with miniplate fixation, Arch Otolaryngol Head Neck Surg, 115, 961, 10.1001/archotol.1989.01860320071021 · DOI
- Zingg, 1992, Classification and treatment of zygomatic fractures: a review of 1,025 cases, J Oral Maxillofac Surg, 50, 778, 10.1016/0278-2391(92)90266-3 · DOI
- Lee, 2009, Zygomatic nonunion after reduction malarplasty, J Craniofac Surg, 20, 849, 10.1097/SCS.0b013e3181a2f040 · DOI
- Stanley, 1989, The zygomatic arch as a guide to reconstruction of comminuted malar fractures, Arch Otolaryngol Head Neck Surg, 115, 1459, 10.1001/archotol.1989.01860360061018 · DOI
- Shumrick, 1997, Criteria for selective management of the orbital rim and floor in zygomatic complex and midface fractures, Arch Otolaryngol Head Neck Surg, 123, 378, 10.1001/archotol.1997.01900040020003 · DOI
- Frodel, 1993, The coronal approach. Anatomic and technical considerations and morbidity, Arch Otolaryngol Head Neck Surg, 119, 201, 10.1001/archotol.1993.01880140091014 · DOI
- Stuzin, 1989, Anatomy of the frontal branch of the facial nerve: the significance of the temporal fat pad, Plast Reconstr Surg, 83, 265, 10.1097/00006534-198902000-00011 · DOI
- Stanley, 1988, The temporal approach to impacted lateral orbital wall fractures, Arch Otolaryngol Head Neck Surg, 114, 550, 10.1001/archotol.1988.01860170080023 · DOI
- Lee, 2023, Treatment of sagittal fracture of the zygomatic arch root, J Craniofac Surg, 34, 2252, 10.1097/SCS.0000000000009534 · DOI · Paper page
- Choi, 2013, Feasibility of 4-point fixation using the preauricular approach in a zygomaticomaxillary complex fracture, J Craniofac Surg, 24, 557, 10.1097/SCS.0b013e3182700d23 · DOI
- Yang, 2004, Infracture technique for reduction malarplasty with a short preauricular incision, Plast Reconstr Surg, 113, 1253, 10.1097/01.PRS.0000110217.60491.56 · DOI
- 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
- Ellis, 2000, Condylar process fractures of the mandible, Facial Plast Surg, 16, 193, 10.1055/s-2000-12579 · DOI
- Trussler, 2010, The frontal branch of the facial nerve across the zygomatic arch: anatomical relevance of the high-SMAS technique, Plast Reconstr Surg, 125, 1221, 10.1097/PRS.0b013e3181d18136 · DOI
- Agarwal, 2010, The course of the frontal branch of the facial nerve in relation to fascial planes: an anatomic study, Plast Reconstr Surg, 125, 532, 10.1097/PRS.0b013e3181c82e9d · DOI
- de Bonnecaze, 2015, The frontal branch of the facial nerve: can we define a safety zone?, Surg Radiol Anat, 37, 499, 10.1007/s00276-014-1386-3 · DOI
Metadata
- Authors
- Chen, J., Tan, Y., Xu, Z., Li, L., Zhu, F., Ye, W., & Zhong, L.
- Affiliations
- Fudan University (CN)
- Department of Oromaxillofacial Head and Neck Surgery, Fudan University, Center for Oromaxillofacial Head and Neck Disorders, Huashan Hospital, Shanghai
- Department of Stomatology, Jiangdu People’s Hospital of Yangzhou, Jiangdu District, Yangzhou, China
- Corresponding author
- Chen, Jiangping
- Tan, Yiran
- Xu, Zhiwen
- Ye, Weimin
- Zhong, Laiping
- Venue
- Journal of Craniofacial Surgery
- Published
- 2026-02-11
- Volume
- 37
- Issue
- 9
- Pages
- 2555-2558
- ISSN
- 1049-2275 (ISSN-L)
- 1536-3732
- OpenAlex
- W7128593015
- Cited by
- 2
- References
- 19
- Citations by year
- 2026: 2
- FWCI
- 9.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Craniofacial 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 › Orthopedics and Sports Medicine › Bone fractures and treatments
- Keywords
- zygomatic arch fracture, minimally invasive surgical approach, preauricular incision, open reduction and internal fixation, facial nerve injury, facial trauma surgery
- MeSH terms
- Open Fracture Reduction, Fracture Fixation, Internal, Humans, Male, Tomography, X-Ray Computed, Zygomatic Fractures, Minimally Invasive Surgical Procedures
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- Chen, J., Tan, Y., Xu, Z., Li, L., Zhu, F., Ye, W., & Zhong, L. (2026). The “Double-channel, Tunnel-like” Approach for Managing Zygomatic Arch Fractures. Journal of Craniofacial Surgery. https://doi.org/10.1097/scs.0000000000012533
