Fractures of the zygomatic arch are common due to its anatomical prominence. The post-traumatic restoration of the arch form is important to maintain the midfacial symmetry and anteroposterior projection of the face. Open reduction and internal fixation (ORIF) of fractured arch is indicated in specific clinical presentations. The traditional methods of ORIF of zygomatic arch fractures require cutaneous incisions, which are associated with complications such as scarring and facial nerve injury. This article presents a simple technique of “intraoral reduction and transbuccal fixation” of the arch that negates the problems associated with the conventional approaches to ORIF.
ChenCTLaiJPChenYRTungTCChenZCRohrichRJ. Application of endoscope in zygomatic fracture repair. Br J Plast Surg. 2000;53(2):100–105.
2.
ShikimoriMMotegiK. Skin incision parallel with skin cleavage lines for access to the fractured zygomatic arch. J Maxillofac Surg. 1986;14(6):321–322.
3.
LeeCHLeeCTrabulsyPPAlexanderJTLeeK. A cadaveric and clinical evaluation of endoscopically assisted zygomatic fracture repair. Plast Reconstr Surg. 1998;101(2):333–345.
4.
XieLShaoYHuYLiHGaoLHuH. Modification of surgical technique in isolated zygomatic arch fracture repair: seven case studies. Int J Oral Maxillofac Surg. 2009;38(10):1096–1100.
5.
BadilloOOsbenRVidalCDuarteV. Design and use of an instrument for video-assisted surgical treatment of unstable fractures of the zygomatic arch: the Z instrument. Br J Oral Maxillofac Surg. 2015;53(8):767–768.
6.
DahlkeEMurrayCA. Facial nerve danger zone in dermatologic surgery: temporal branch. J Cutan Med Surg. 2011;15(2):84–86.
