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Cited by 3Facial Trauma and Fracture ManagementReconstructive Facial Surgery TechniquesBone fractures and treatments

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A modified approach for treating zygomatic arch fracture with plate fixation: a retrospective study

Open access
Tang, Zi-hua, Jiang, Yu, Liu, Hui, Tang, Wei, Chen, Jin-long·2025·BMC Surgery
DOI 10.1186/s12893-025-02818-8PMC PMC11849294
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Abstract

BACKGROUND: Zygomatic complex fractures are prevalent among maxillofacial bone injuries due to the prominence of the zygomatic arch, which can significantly impact facial aesthetics and the ability to open the mouth. Although non-surgical interventions are available for mild cases, severe fractures necessitate surgical intervention. The surgical repair of zygomatic arch fractures poses a risk of injuring the temporal branch of the facial nerve (TBFN). This study aimed to develop a modern modification to reduce the probability of common complications. METHOD: We conducted a retrospective study involving 163 patients at the Department of Oral & Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, spanning from March 2021 to June 2024. Our study introduced a novel modification of the temporal hairline approach for the treatment of these fractures. RESULTS: Among the patients who underwent the modified approach (n = 38), there were no instances of TBFN injuries. In contrast, the traditional approach (n = 125) resulted in 17 cases of nerve-related complications. CONCLUSION: Our findings indicate that the modified temporal hairline approach offers distinct advantages in minimizing the risk of TBFN injury with minimally noticeable scarring, while ensuring that the fracture is securely repaired. This provides a new safe surgical approach option for the osteosynthesis of zygomatic arch fractures.

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References 29 · Cited by 3

Research works printed but not linked: 28

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Metadata

Authors
Tang, Z.-H., Jiang, Y., Liu, H., Tang, W., & Chen, J.-L.
Affiliations
Sichuan University (CN)
ORCID
Venue
BMC Surgery
Publisher
Springer Science and Business Media LLC
Published
2025-02-24
Volume
25
Issue
1
Pages
79-79
ISSN
1471-2482 (ISSN-L)
DOI
10.1186/s12893-025-02818-8
PMC
PMC11849294
OpenAlex
W4407892505
Cited by
3
References
29
Citations by year
2026: 3
FWCI
2.10
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Surgery (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Natural Science Foundation of Sichuan Province (2025ZNSFSC0765)
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, zygomatic complex fractures, plate fixation, facial nerve injury prevention, fracture fixation, surgical approach modification, facial aesthetics, scar reduction
MeSH terms
Adolescent, Adult, Aged, Bone Plates, Female, Fracture Fixation, Internal, Humans, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Zygomatic Fractures, Facial Nerve Injuries, Young Adult

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