Effect of sub-brow incision and coronal incision on rehabilitation and aesthetic satisfaction after zygomatic fracture

doi:10.19438/j.cjoms.2025.02.010

Abstract

Abstract: PURPOSE: To investigate the effect of sub-brow combined intraoral incision and coronal incision on postoperative recovery and aesthetic satisfaction in patients with zygomatic arch fractures. METHODS: A total of 60 patients with zygomatic arch fractures admitted to Hefei Second People's Hospital from January 2021 to December 2023 were selected and divided into two groups with 30 cases in each group, based on the surgical method. The control group received a coronal incision, while the experimental group received a sub-brow combined intraoral incision. The two groups were compared in terms of postoperative 3-month excellent rate and treatment satisfaction, complications, preoperative and postoperative 3-month scores on the Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS), comfort level, dietary disorder score, pink esthetic score(PES), soft tissue swelling subsidence time, fracture healing time, hospital stay, and scar incidence. SPSS 23.0 software package was used for statistical analysis. RESULTS: The experimental group showed higher postoperative 3-month excellent rate and treatment satisfaction compared to the control group(P< 0.05). At 3 months post-surgery, the experimental group had lower SAS, SDS, comfort level, and dietary disorder scores compared to the control group(P< 0.05), and higher PES scores(P< 0.05). The experimental group also had shorter soft tissue swelling subsidence time, fracture healing time, and hospital stay, with lower scar incidence compared to the control group(P< 0.05). There was no significant difference in complication rates between the two groups(P> 0.05). CONCLUSIONS: Sub-brow combined intraoral incision demonstrates significant advantages in the treatment of zygomatic arch fractures. This technique can reduce scar incidence, alleviate early postoperative stress responses, and accelerate postoperative recovery and improve the satisfaction of treatment, aesthetic satisfaction and psychological state of patients (anxiety, depression).

Key words: Zygomatic arch fracture, Sub-brow incision, Coronal incision, Postoperative recovery, Aesthetic satisfaction

CLC Number:

R782.4

HU Chao, HUANG Qing, XU Wei. Effect of sub-brow incision and coronal incision on rehabilitation and aesthetic satisfaction after zygomatic fracture[J]. China Journal of Oral and Maxillofacial Surgery, 2025, 23(2): 165-169.

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