Closed reduction with minimal accesses for treating isolated zygomatic arch fractures: Case Series

• Autor(a) principal: Lôbo, Maelly Vicente
• Data de Publicação: 2021
• Outros Autores: Nascimento, Yasmin Lima, Andrade, Taysnara Ismaeley de, Pontes, Kaiane Tavares, Andrade, Joelma Silva de, Barbosa, Luandson Nunes dos Santos, Souza, Ilberto Cândido de, Brainer, Diogo Luiz Bastos
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/15792
• topic: Zygoma; Zygomatic fractures; Closed fracture reduction; Minimally invasive surgical procedures.; Cigoma; Fracturas cigomáticas; Reducción cerrada; Procedimientos quirúrgicos mínimamente invasivos.; Zigoma; Fraturas zigomáticas; Redução fechada; Procedimentos cirúrgicos minimamente invasivos.

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.