Kim Jun Sik, Park Young Ji, Lee Yoon Jung, Kim Nam Gyun, Lee Kyung Suk
Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine and Hospital, Gyeongsang National University, Jinju, Korea.
Department of Plastic and Reconstructive Surgery, Gyeongsang National University Changwon Hospital, Changwon, Korea.
Arch Craniofac Surg. 2016 Dec;17(4):198-201. doi: 10.7181/acfs.2016.17.4.198. Epub 2016 Dec 23.
Zygomatic arch is a bony arch constituting the lateral midface, which consists of 25% of all midface fractures. There are a number of ways to evaluate the extent of zygomatic arch fracture. Some authors have reported successful treatment outcomes using ultrasound (U/S). To add to the previous methods, we have considered ways to accurately display the location of the fracture line while using U/S with 23 gauge needle marking. We introduce our method, which provided satisfactory results for reduction using a portable U/S, and it can evaluate the fracture line simultaneously when reduction of an isolated zygomatic arch fracture is necessary, and needle marking, which can easily point out the fracture line on U/S.
We studied 21 patients with an isolated zygomatic arch fracture who underwent closed reduction using U/S and needle marking between 2013 and 2015.
We achieved satisfactory results in all our cases with respect to reduction by using the Dingman elevator after performing a temporal approach incision, while confirming relative positioning between needle marking and zygomatic fracture at the same time, after insertion of a 23 gauge needle in the skin above the zygomatic arch fracture line parallel to it.
We treated 21 patients with an isolated zygomatic arch fracture using U/S and the needle marking method, which provided satisfactory results because the extent of reduction of the fracture could be evaluated in real-time during the operation and exposure to radiation was reduced.
颧弓是构成面部中份外侧的骨性弓，占所有面中部骨折的25%。评估颧弓骨折程度有多种方法。一些作者报道了使用超声（U/S）取得的成功治疗结果。为在先前方法的基础上有所补充，我们考虑了在使用23号针标记的超声检查时准确显示骨折线位置的方法。我们介绍我们的方法，该方法使用便携式超声在复位时取得了满意结果，并且在需要复位孤立性颧弓骨折时能够同时评估骨折线，以及能在超声上轻松指出骨折线的针标记法。
我们研究了2013年至2015年间21例接受超声及针标记法闭合复位的孤立性颧弓骨折患者。
在颧弓骨折线上方平行于骨折线的皮肤处插入23号针后，通过颞部入路切口，在使用丁曼骨膜剥离子复位时，同时确认针标记与颧骨骨折之间的相对位置，我们所有病例均取得了满意的复位效果。
我们使用超声及针标记法治疗了21例孤立性颧弓骨折患者，该方法取得了满意结果，因为术中可实时评估骨折复位程度，且减少了辐射暴露。
