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  • Title: [Zygomatic arch fractures; a neurosurgical viewpoint].
    Author: Iwamoto Y, Yamamoto K, Nakagawa Y, Fujimoto M, Yamaki T.
    Journal: No Shinkei Geka; 1992 Apr; 20(4):374-6. PubMed ID: 1570058.
    Abstract:
    Depressed fractures of the zygomatic arch are often overlooked due to local swelling associated with the injury. However, such fractures are easily detected using roentgenography in superioinferior projection and/or bone image CT examinations of the zygomatic arch. Ten patients with depressed fracture of the zygomatic arch were treated surgically. Nine underwent an operation by the Gillies method within 15 days after the injury and showed good results. In the remaining patient, the operation performed on the 27th day after the injury failed to reconstruct the zygomatic arch perfectly, even when the open procedure was used. The most important point in these cases is the detection and surgical treatment of the fracture at an early stage. Patients with trismus and depressed fracture of the zygomatic arch should be operated on within two weeks after injury. During this period, the surgical method reported by Gillies can be performed easily and also produces successful results.
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