Aim: The aim of this study was to evaluate the results of the inflated endotracheal tube for simple internal splinting in the treatment of isolated zygomatic arch fractures as a new method.
Material and methods: A total of sixteen male and four female patients with isolated zygomatic arch fractures were reconstructed using this method. Reconstruction was performed with temporal approach and internal splinting method and inflated endotracheal tube was used for internal splinting. The median age of the patients was 29 years. Three patients had insulindependent diabetes mellitus. Mean follow-up after surgery was 6.8 months. Patients were evaluated both clinicall and with computerized tomography scan (CTS) preoperatively, postoperative 1 day, and postoperative 3 months.
Results: We did not encounter any complications such as poor reduction, insufficient stabilization, facial nerve injury, or infection. All patient tolerated the method well and did not complain about comfort. All patients demonstrated normal zygomatic contour and facial symmetry.
Discussion: This new method is simple, easy and complication free. In addition, a small incision is used and the internal splint is totally embedded under the temporalis fascia to minimize the risk of infection, especially for patients with diabetes mellitus. The endotracheal tube applies pressure over a longer segment of reduced fracture and there is no displacement because of the elliptical shape of the cuff. Therefore, this new method can be used for the treatment of isolated zygomatic arch fractures.