Intraoperative Use of Portable Wireless Dental X-ray with An Intraoral Sensor as a Guide in Reduction of Isolated Zygomatic Arch Fractures

Abstract

Abstract

Background: The second most frequent site for face bone fractures is the zygomatic arch. Because of its anatomical prominence, zygomatic bone fractures are becoming more common. Since the fracture lines cannot be seen clearly in closed reduction, the fragments are clinically repositioned using digital exploration and crepitus noise or traditional radiography imaging as a guideline.

Aim: The aim of this study to evaluate the accuracy of zygomatic arch reduction by using of portable wireless dental X-ray with an intraoral sensor.

Methods and Materials: This study comprised 15 patients who had isolated zygomatic arch fractures. The study was conducted between February 2021 and September 2022 in the department of oral and maxillofacial surgery at Alwasity Teaching Hospital, with patients ranging in age from 21 to 43. All cases were treated by closed reduction with the use of portable wireless dental X-ray with an intraoral sensor to ensure the reduction intraoperatively.

Results: Three months postoperatively all patients were sent for a new CT scan, we found excellent reduction and bone healing at the fracture site, except only one case was reveal slight depression at the fracture site but was esthetically accepted.

Conclusions:  intraoperative use of portable wireless dental X-ray with an intraoral sensor is considered a safe, relatively easy, reliable method in the treating of zygomatic arch fracture.

keywords: Facial bone fracture, Zygomatic arch fracture, closed reductions of zygomatic arch fracture, Gilles approach, Portable wireless dental X-ray with an intraoral sensor.