A Method of Calculating the Shortest Incision for Internal Fixation of Zygomatic Arch Fracture

Wei Jing80 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Zygomatic Fractures

Interventions

sideburns mini incisionPROCEDURE

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.

coronal scalp incisionPROCEDURE

Coronal scalp incisions were used as control group.

Eligibility

Sex: ALLMin age: 15 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Clinical and imaging diagnosis of zygomatic arch fracture or zygomatic maxillary complex fracture. 2. Fracture fragments are obviously displaced, which affects the appearance and function of the patient. Simple prying is instable and requires open reduction and internal fixation. 3. No previous surgical treatment. Exclusion Criteria: 1. Accompanied by multiple fractures of mandible, nasal bone and so on. 2. There are traumatic scars in the operation area, which can be accessed through the original wound. 3. History of bone disease and / or wound healing disorders. 4. Mental and intellectual disorders.

Locations (1)

Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University

Chengdu, Sichuan, China

Outcomes

Primary Outcomes

Incision length

Incision length for open reduction and internal fixation of zygomatic arch fractures.

Time frame: during the surgical procedure

Operative duration

The length of time spent on operation.

Time frame: 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.

Time frame: 24 hours after surgery

Postoperative stay

Days of postoperative hospital stay was calculated to evaluate patient recovery.

Time frame: 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.

Time frame: from the end of surgery to 6 months after surgery

Data from ClinicalTrials.gov

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