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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Rivista Italiana di Chirurgia Maxillo-Facciale 2003 August;14(2):81-86
Percutaneous approach to isolated zygomatic arch fractures. Personal experience
Biglioli F., Liviero F.
Department of Maxillo-Facial Surgery San Paolo Hospital University of Milan, Milan, Italy
Aim. The authors present their experience gained from the reduction of zygomatic arch fractures by means of the closed percutaneous reduction technique.
Methods. During the period January 1994 - December 2002, 293 patients with fractures of the orbito-maxillo-malar complex were treated, of which 45 were isolated fractures of the zygomatic arch. Patients with this type of fracture underwent surgery under local anaesthesia, which was performed by means of the closed percutaneous reduction technique through the sub-zygomatic way, according to the technique described by Fiamminghi.
Results. From the total of 45 patients treated by means of this technique only 2 complications were experienced (4.45%); incomplete reduction in one instance and sialoadenitis of the parotid gland in the other.
Conclusion. Comparing this easy, swift and low-cost method to other more expensive and complex techniques, which also call for a general anaesthesia, this procedure is recommended as a first choice for isolated zygomatic arch fractures.