Edward Joseph, Samson Ajit, Madhu Usha Arjun, Harikrishnan K U
Department of Oral and Maxillo Facial Surgery, Azeezia College of Dental Science and Research, Diamond Hills, Meeyannur, Kollam, 691537 India.
Government Dental College Alappuzha, Alappuzha, Kerala India.
J Maxillofac Oral Surg. 2021 Mar;20(1):160-162. doi: 10.1007/s12663-020-01334-x. Epub 2020 Feb 3.
Gillies temporal approach and intra oral supraperiosteal approach are the most commonly used approaches for reduction of isolated zygomatic arch fractures.
To set forth a less invasive technique for reduction and stabilization of isolated zygomatic arch fractures.
A 24-G stainless steel wire is passed through a 16-G cannula needle and is shaped to form a semi-circle. The precontoured needle was then inserted into the inferior part of the depressed zygomatic arch and the tip passed out through the superior part. The wires are then twisted and pulled laterally to reduce the fracture and are tied over an external splint to stabilize the arch.
The technique discussed in this article is simple, less time consuming, cost effective and less traumatic than the conventionally performed techniques for reduction and stabilization of isolated zygomatic arch fractures.
吉利斯颞部入路和口内骨膜上入路是孤立性颧弓骨折复位最常用的入路。
阐述一种用于孤立性颧弓骨折复位和固定的侵入性较小的技术。
将一根24G不锈钢丝穿过一根16G套管针并塑形为半圆形。然后将预塑形的针插入凹陷的颧弓下部,针尖从上部穿出。然后将钢丝扭转并向外侧牵拉以复位骨折,并在外部夹板上打结以固定颧弓。
本文所讨论的技术简单、耗时少、成本效益高,且与传统的孤立性颧弓骨折复位和固定技术相比创伤更小。