Surgical treatment of malar arch fracture by a modified preauricular temporal approach (Al-Kayat-Bramley method) : Report of 5 caes.

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Although there have been various reports to improve visibility and safety in the surgical approach to the malar arch, post-operative problems such as sensory loss over the distribution of the auriculo-temporal region and undesirable cosmetic results are not uncommon. In 1979, Al-Kayat and Bramley reported on a modified preauricular approach to the malar arch and temporomandibular joint.This method is very safe and useful when operating in the temporomandibular joint region for various problems.<BR>From the period of February 1983 to August 1984, 5 cases of malar fractures in 4 males and in female patients of ages ranging from 25 to 48, were surgically treated using the Al-Kayat-Bramley method.In one case there were bilateral malar arch fractures and in the other four cases, threre were fractures at the suture lines and infraorbital foramen.Under general anesthesia, wiring of the fracture site was accomplished after open reduction.<BR>Good cosmetic results as well as the absence of trismus and facial nerve paralysis were obtained as a result of "open mouth" training which was performed two weeks after surgical intervention.
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