Kim Jinwoo, Hwang Woosuk
Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine, Busan, Korea.
J Craniofac Surg. 2018 Oct;29(7):e639-e640. doi: 10.1097/SCS.0000000000004622.
The zygomaticomaxillary complex fractures are common fractures among the all facial fractures, and the zygomatic arch fracture accounts for approximately 10% of all facial fractures. Various routes (Gillies app, Direct cutaneous app, Bicoronal, intraoral) and devices (Foley's ballon catheter, Rowe zygoma elevator, Langenbach, deschamps needle holder, Bone hook) for a surgical intervention of the zygomatic arch have been introduced. However, no study exists that has described an effective method of surgery for zygomatic arch fractures that have been left untreated for a long period, or for unstable reduction that have not been reduced >1 month after surgery. The authors describe the case of a 53-year-old female patient who was diagnosed an unstable reduction of the zygomatic arch, 6 weeks after undergone open reduction and internal fixation for a zygomaticomaxillary complex fracture. The authors had successful outcome for delayed reduction of a zygomatic arch fracture using a Rowe zygoma elevator. And the authors suggest that the Rowe zygoma elevator is an easy and effective method for delayed reduction of a zygomatic arch fracture.
颧上颌复合体骨折是所有面部骨折中常见的骨折类型，颧弓骨折约占所有面部骨折的10%。已介绍了多种用于颧弓手术干预的入路（吉利斯法、直接皮肤入路、双冠状切口、口内入路）和器械（福 Foley 球囊导管、罗伊氏颧弓提升器、兰根巴赫器械、德尚针持、骨钩）。然而，尚无研究描述针对长期未治疗的颧弓骨折或术后超过1个月仍未复位的不稳定复位情况的有效手术方法。作者描述了一例53岁女性患者的病例，该患者在接受颧上颌复合体骨折切开复位内固定术后6周被诊断为颧弓复位不稳定。作者使用罗伊氏颧弓提升器成功延迟复位了颧弓骨折。作者认为罗伊氏颧弓提升器是一种用于延迟复位颧弓骨折的简便有效的方法。
