Korean J Otorhinolaryngol-Head Neck Surg.  2018 Nov;61(11):588-592. 10.3342/kjorl-hns.2017.01109.

Reduction of Isolated Zygomatic Arch Fractures with Gillies Approach

• Shin DK
• Kim YS
• Shim WS
• Jung HJ

• KMID: 2436553
• DOI: http://doi.org/10.3342/kjorl-hns.2017.01109

Abstract

BACKGROUND AND OBJECTIVES
The incidence of facial bone fracture is increasing. The zygomatic bone, due to its anatomical prominence, is the second most common site of all facial bone fractures. In this study, we present the clinical experiences of zygomatic arch fracture in a tertiary hospital and introduce the Gillies approach for reduction and its outcome results.
SUBJECTS AND METHOD
We collected data from retrospective chart reviews of patients who underwent surgeries from 2010 to 2017 for zygomatic arch fractures at Chungbuk National University Hospital. Data were analyzed according to age, gender, cause of trauma, location of trauma, and clinical symptoms including trismus. All surgery was performed under general anesthesia and via the use of Gillies approach. The result of surgery was evaluated by postoperative facial computed tomography.
RESULTS
Sixteen patients underwent surgery for zygomatic arch fracture. The patients had the average age of 41.3 years, a male predominance of 15:1 and physical assault as the most common cause of trauma. The time lag between injury and surgical reduction was 5.5 days. The surgical outcomes were assessed "good" in 14 cases and "moderate" in one case. Patients who had trismus preoperatively were resolved of it in all cases after operation. Postoperative complications were absent.
CONCLUSION
The Gillies approach proved to be a relatively easy, safe, and reliable method, and its surgical outcomes was satisfactory in our experiences.

Keyword

Facial bone fracture; Gillies approach; Maxillofacial trauma; Zygomatic arch fracture

MeSH Terms

Anesthesia, General
Chungcheongbuk-do
Facial Bones
Humans
Incidence
Male
Methods
Postoperative Complications
Retrospective Studies
Tertiary Care Centers
Trismus
Zygoma*