Deep Subfascial Approach in the Management of Zygomatic Arch Fracture: A Case Report

Abstract

Even for the most skilled maxillofacial surgeon, gaining access to the zygomatic arch for surgical procedures can be difficult due to the potential obstruction caused by a depressed zygomatic arch fracture, leading to restricted mouth opening. There are various treatment options available for zygomatic arch fractures. This article discusses the deep subfascial technique as a means to access the Temporomandibular Joint (TMJ) and zygomatic arch. This surgical procedure ensures a secure operative field while minimizing the risk to facial nerve branches. Here, the authors present the case of a 62-year-old male patient who sustained a right zygomatic arch fracture in a road traffic accident. The fractured segments were treated surgically through open reduction and internal fixation using the deep subfascial approach. The procedure resulted in minimal post-operative discomfort, no functional impairment, successful reduction of the fracture, and restoration of function.

Keywords

• alkayat-bramley incision
• facial nerve
• pre-auricular
• trauma