Czerwinski Marcin, Lee Chen
Montreal Children's Hospital, C1139 2300 Tupper Street, Montreal, Quebec, Canada, H3H 1P3.
Facial Plast Surg Clin North Am. 2006 Feb;14(1):37-43. doi: 10.1016/j.fsc.2005.11.002.
The reliable form and strategic position of the zygomatic arch make it a valuable landmark in midfacial trauma management. The benefits of arch repair have been used infrequently, mainly because traditional coronal access to this structure is fraught with undesirable sequelae. Endoscope-assisted zygomatic arch realignment and fixation allow anatomic repair without sustaining the drawbacks of extensive access incisions. The relative importance of this approach increases with trauma complexity, being most useful in Le Fort III and complex zygoma injuries.
颧弓可靠的形态和战略位置使其成为面中部创伤处理中的一个重要标志。颧弓修复的益处很少被采用,主要是因为传统的冠状入路处理该结构会带来不良后遗症。内镜辅助下颧弓复位与固定可实现解剖修复,而不会承受广泛切口入路的缺点。随着创伤复杂性的增加,这种方法的相对重要性也随之增加,在Le Fort III型和复杂颧骨损伤中最为有用。