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In this study, a new method was proposed to calculate the length of sideburns mini incision for zygomatic arch fracture. The purpose of this study was to compare the sideburns mini incision calculated by this method with the coronal scalp incision, so as to determine the therapeutic effect and advantages of sideburns mini incision calculated by this method.
Eighty patients with zygomatic arch fracture were treated with surgical intervention. Forty patients were treated with sideburns mini incision, and the other forty patients were treated with coronal scalp incision. Data such as incision length, operation time and postoperative complications were recorded. The follow-up periods were 6 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| the sideburns mini incision group | Experimental | Forty patients (the sideburns mini incision group) were treated with sideburns mini incision. |
|
| the coronal scalp incision group | Other | Forty patients (the coronal scalp incision group) were treated with coronal scalp incision. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sideburns mini incision | Procedure | The investigators present a new method to calculate the shortest incision for zygomatic fracture, and use this method to calculate the sideburns mini incision for the surgical treatment of zygomatic arch fracture. |
| Measure | Description | Time Frame |
|---|---|---|
| Incision length | Incision length for open reduction and internal fixation of zygomatic arch fractures. | during the surgical procedure |
| Operative duration | The length of time spent on operation. | from the beginning to the end of surgery |
| Postoperative pain | Visual Analogue Scale was used to evaluate the burden of postoperative pain. The maximum score is 10, and the minimum score is 0. Higher scores represent more intense pain. | 24 hours after surgery |
| Postoperative stay | Days of postoperative hospital stay was calculated to evaluate patient recovery. | From the end of surgery until discharge, up to 15 days. After evaluation by the same chief knife physician, the patient recovered well postoperatively and could be discharged. |
| Postoperative adverse effects | Including bleeding, malocclusion, infection, nerve injury, etc. | from the end of surgery to 6 months after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Wei Jing, Professor | Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University | Chengdu | Sichuan | 610041 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33038178 | Result | Huang L, Jiang C, Lin Y, Wen Y, Huang X, Huang J, Lin L. Analysis of Maxillofacial Fractures Based on the Etiology in Southeast China: A 10-Year, Multi-Center Study. J Craniofac Surg. 2021 Jun 1;32(4):1432-1435. doi: 10.1097/SCS.0000000000007183. | |
| 32606181 | Result | Tent PA, Juncar RI, Juncar M. Epidemiological Analysis of Zygomatic Bone Fractures in North-Western Romanian Population: A 10-Year Retrospective Study. In Vivo. 2020 Jul-Aug;34(4):2049-2055. doi: 10.21873/invivo.12006. |
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| ID | Term |
|---|---|
| D015051 | Zygomatic Fractures |
| ID | Term |
|---|---|
| D008446 | Maxillofacial Injuries |
| D005151 | Facial Injuries |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
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| coronal scalp incision | Procedure | Coronal scalp incisions were used as control group. |
|
| 32258152 | Result | Kim JH, Kim YS, Oh DY, Jun YJ, Rhie JW, Moon SH. Efficacy of Altered Two-Point Fixation in Zygomaticomaxillary Complex Fracture. Biomed Res Int. 2020 Mar 18;2020:8537345. doi: 10.1155/2020/8537345. eCollection 2020. |
| 32642044 | Result | Panneerselvam E, Balasubramanian S, Kempraj J, Babu VR, Raja VBKK. Management of Zygomatic Arch Fractures by Intraoral Open Reduction and Transbuccal Fixation: A Technical Note. Craniomaxillofac Trauma Reconstr. 2020 Jun;13(2):130-132. doi: 10.1177/1943387520911866. Epub 2020 Mar 17. |
| 24086808 | Result | Cheon JS, Seo BN, Yang JY, Son KM. Clinical Follow-up on Sagittal Fracture at the Temporal Root of the Zygomatic Arch: Does It Need Open Reduction? Arch Plast Surg. 2013 Sep;40(5):546-52. doi: 10.5999/aps.2013.40.5.546. Epub 2013 Sep 13. |
| 28027253 | Result | Birgfeld CB, Mundinger GS, Gruss JS. Evidence-Based Medicine: Evaluation and Treatment of Zygoma Fractures. Plast Reconstr Surg. 2017 Jan;139(1):168e-180e. doi: 10.1097/PRS.0000000000002852. |
| 28941507 | Result | Strong EB, Gary C. Management of Zygomaticomaxillary Complex Fractures. Facial Plast Surg Clin North Am. 2017 Nov;25(4):547-562. doi: 10.1016/j.fsc.2017.06.006. |
| 33654041 | Result | Ling XF, Yew CC, Mohd Nazri SB, Tew MM. Unilateral Zygomatic Complex Fracture - A Comparison Between Nonsurgical Treatment and Surgical Treatment. J Craniofac Surg. 2021 Oct 1;32(7):e627-e630. doi: 10.1097/SCS.0000000000007603. |
| 25739436 | Result | Sanada Y, Yabuuchi T, Yoshioka H, Kubota H, Kato A. Zigzag skin incision effectively camouflages the scar and alopecia for moyamoya disease: technical note. Neurol Med Chir (Tokyo). 2015;55(3):210-3. doi: 10.2176/nmc.tn.2014-0193. Epub 2015 Feb 20. |
| 28913285 | Result | Ji SY, Kim SS, Kim MH, Yang WS. Surgical Methods of Zygomaticomaxillary Complex Fracture. Arch Craniofac Surg. 2016 Dec;17(4):206-210. doi: 10.7181/acfs.2016.17.4.206. Epub 2016 Dec 23. |
| 17604708 | Result | Verpaele A, Tonnard P, Gaia S, Guerao FP, Pirayesh A. The third suture in MACS-lifting: making midface-lifting simple and safe. J Plast Reconstr Aesthet Surg. 2007;60(12):1287-95. doi: 10.1016/j.bjps.2006.12.012. Epub 2007 Jun 29. |
| 31514807 | Result | Chopan M, Buchanan PJ, Mast BA. The Minimal Access Cranial Suspension Lift. Clin Plast Surg. 2019 Oct;46(4):547-557. doi: 10.1016/j.cps.2019.06.005. Epub 2019 Aug 2. |
| D009422 |
| Nervous System Diseases |
| D012887 | Skull Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |