Department of Otorhinolaryngology, Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, 153, Kyo-Dong, Chuncheon, 200-704, Republic of Korea.
Eur Arch Otorhinolaryngol. 2014 Apr;271(4):707-11. doi: 10.1007/s00405-013-2602-1. Epub 2013 Jun 21.
Various methods have been used to treat zygomatic arch fractures, but no optimal modality exists for reducing these fractures and supporting the depressed bone fragments without causing esthetic problems and discomfort for life. We developed a novel aqua splint and suture technique for stabilizing isolated zygomatic arch fractures. The objective of this study is to evaluate the effect of novel aqua splint and suture technique in isolated zygomatic arch fractures. Patients with isolated zygomatic arch fractures were treated by a single surgeon in a single center from January 2000 through December 2012. Classic Gillies approach without external fixation was performed from January 2000 to December 2003, while the novel technique has been performed since 2004. 67 consecutive patients were included (Classic method, n = 32 and Novel method, n = 35). An informed consent was obtained from all patients. The novel aqua splint and suture technique was performed by the following fashion: first, we evaluated intraoperatively the bony alignment by ultrasonography and then, reduced the depressed fracture surgically using the Gillies approach. Thereafter, to stabilize the fracture and obtain the smooth facial figure, we made an aqua splint that fit the facial contour and placed monofilament nonabsorbable sutures around the fractured zygomatic arch. The novel aqua splint and suture technique showed significantly correlated with better cosmetic and functional results. In conclusion, the aqua splint suture technique is very simple, quick, safe, and effective for stabilizing repositioned zygomatic arch fractures. The aqua splint suture technique can be a good alternative procedure in isolated zygomatic arch fractures.
各种方法已被用于治疗颧骨弓骨折，但没有一种理想的方法可以在不引起美观问题和生活不适的情况下，减少这些骨折并支撑凹陷的骨碎片。我们开发了一种新型的水夹板和缝线技术，用于稳定孤立的颧骨弓骨折。本研究的目的是评估新型水夹板和缝线技术在孤立的颧骨弓骨折中的效果。
2000 年 1 月至 2012 年 12 月，一位外科医生在一家单中心治疗了孤立的颧骨弓骨折患者。2000 年 1 月至 2003 年 12 月采用经典的 Gillies 入路而不采用外部固定，而自 2004 年以来采用了新型技术。共纳入 67 例连续患者（经典方法，n = 32 例；新型方法，n = 35 例）。所有患者均获得知情同意。
首先，我们通过超声评估术中的骨对线情况，然后通过 Gillies 入路手术复位凹陷性骨折。此后，为了稳定骨折并获得光滑的面部轮廓，我们制作了一个适合面部轮廓的水夹板，并在骨折的颧骨弓周围放置单丝不可吸收缝线。
新型水夹板和缝线技术与更好的美容和功能结果显著相关。结论：水夹板缝线技术对于稳定复位的颧骨弓骨折非常简单、快速、安全和有效。水夹板缝线技术可以成为治疗孤立性颧骨弓骨折的一种良好替代方法。
