Oral and maxillofacial surgery and facial fractures: zygomatic fractures: practice question

A Dentistry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dentistry · Oral and maxillofacial surgery and facial fractures: zygomatic fractures

Sample item

After an assault, a man has flattening of the cheek and difficulty opening the mouth because the coronoid process is blocked. A depressed zygomatic arch fracture is confirmed. Which approach is classically used to elevate it?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Gillies temporal approach

In the Gillies approach, an incision is made in the hair-bearing temple and an elevator passes deep to the temporalis fascia to lift a depressed arch fracture. The depressed arch impinges on the coronoid, causing trismus.

Option by option

  • A. Caldwell-Luc approach

    Caldwell-Luc is an intraoral antral approach.

  • B. Gillies temporal approach (correct)

    Correct. Gillies approach elevates zygomatic arch fractures.

  • C. Weber-Ferguson incision

    Weber-Ferguson is used for maxillectomy exposure.

  • D. Risdon approach

    Risdon is a submandibular approach to the mandible.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Dentistry question

What is the answer to this Dentistry question?

The best answer is B, Gillies temporal approach. In the Gillies approach, an incision is made in the hair-bearing temple and an elevator passes deep to the temporalis fascia to lift a depressed arch fracture.

Why is "Caldwell-Luc approach" not the answer?

Caldwell-Luc is an intraoral antral approach.

Why is "Weber-Ferguson incision" not the answer?

Weber-Ferguson is used for maxillectomy exposure.

Why is "Risdon approach" not the answer?

Risdon is a submandibular approach to the mandible.

What concept does this question test?

It tests Oral and maxillofacial surgery and facial fractures: zygomatic fractures in Dentistry. The depressed arch impinges on the coronoid, causing trismus.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Oral and maxillofacial surgery and facial fractures: zygomatic fractures?

Learn the dental formula, eruption ages and tooth structure once, as tables. Then use the flashcards and the other Dentistry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.