Application of endoscope in zygomatic fracture repair

C. T. Chen, J. P. Lai, Y. R. Chen, T. C. Tung, Z. C. Chen, R. J. Rohrich

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

The endoscope has been used to visualise the upper face and brow in aesthetic facial surgery which is performed without a coronal incision. We applied these principles to repair zygomatic fractures with the aid of a 4 mm, 30 degree telescope inserted through a small temporal incision. Fracture sites at the zygomatic arch and the zygomaticofrontal suture were exposed and fixed with miniplates under endoscopic control. This technique was used in 15 consecutive patients including 2 with isolated zygomatic arch comminuted fractures and 13 having displaced zygomatic fractures with segmental, displaced zygomatic arch fractures. Nine patients were men and six patients were women with a mean age of 35 years. Three patients had associated mandibular fractures. The periods of follow-up ranged from 3 to 22 months. Two patients developed transient frontal nerve palsy which recovered within 2 months. One patient had mild temporal hollowing on the side of the facial fracture. All patients achieved the adequate anatomic reduction and satisfactory malar symmetry. There has been no case of chewing problems, cheek numbness or progressive enophthalmos developing postoperatively. Application of the endoscope in zygomatic fracture repair minimises the scalp scar, avoids forehead numbness, provides a comfortable postoperative recovery and shortens hospital stay. Careful preoperative evaluation and proper surgical technique are mandatory for achieving optimal results in selected patients. (C) 2000 Harcourt Publishers Ltd.

Original languageEnglish (US)
Pages (from-to)100-105
Number of pages6
JournalBritish Journal of Plastic Surgery
Volume53
Issue number2
DOIs
StatePublished - Mar 2000

Fingerprint

Zygomatic Fractures
Endoscopes
Zygoma
Hypesthesia
Enophthalmos
Telescopes
Comminuted Fractures
Mandibular Fractures
Forehead
Cheek
Mastication
Plastic Surgery
Scalp
Paralysis
Sutures
Cicatrix
Length of Stay

Keywords

  • Endoscopic plastic surgery
  • Trauma
  • Zygomatic fracture

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Chen, C. T., Lai, J. P., Chen, Y. R., Tung, T. C., Chen, Z. C., & Rohrich, R. J. (2000). Application of endoscope in zygomatic fracture repair. British Journal of Plastic Surgery, 53(2), 100-105. https://doi.org/10.1054/bjps.1999.3289

Application of endoscope in zygomatic fracture repair. / Chen, C. T.; Lai, J. P.; Chen, Y. R.; Tung, T. C.; Chen, Z. C.; Rohrich, R. J.

In: British Journal of Plastic Surgery, Vol. 53, No. 2, 03.2000, p. 100-105.

Research output: Contribution to journalArticle

Chen, CT, Lai, JP, Chen, YR, Tung, TC, Chen, ZC & Rohrich, RJ 2000, 'Application of endoscope in zygomatic fracture repair', British Journal of Plastic Surgery, vol. 53, no. 2, pp. 100-105. https://doi.org/10.1054/bjps.1999.3289
Chen CT, Lai JP, Chen YR, Tung TC, Chen ZC, Rohrich RJ. Application of endoscope in zygomatic fracture repair. British Journal of Plastic Surgery. 2000 Mar;53(2):100-105. https://doi.org/10.1054/bjps.1999.3289
Chen, C. T. ; Lai, J. P. ; Chen, Y. R. ; Tung, T. C. ; Chen, Z. C. ; Rohrich, R. J. / Application of endoscope in zygomatic fracture repair. In: British Journal of Plastic Surgery. 2000 ; Vol. 53, No. 2. pp. 100-105.
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