The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education.
Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, china.
J Craniofac Surg. 2022;33(8):2606-2608. doi: 10.1097/SCS.0000000000008664. Epub 2022 Jun 29.
Isolated depressed zygomatic arch fractures are often treated with closed reduction. Reduction is usually performed through the Gillies approach or Keen approach. comminuted zygomatic arch fractures generally require open reduction and fixation to achieve good results. This article describes how to use a pair of surgical templates to assist in the fixation of comminuted zygomatic arch fractures with absorbable plates.
A pair of computer-designed surgical templates were applied to restore the main part of zygomatic arch. Placing a surgical template on the medial side of the zygomatic arch can provide a supporting force and improves the stability of the reduced bone fragments. The lateral template of zygomatic arch limits the excessive uplift of bone fragments.
The operation was performed according to the predetermined procedure. Postoperative computed tomography showed satisfactory reduction effect. In conclusion, with the aid of surgical templates, the reduction and fixation of comminuted zygomatic arch fractures can be more easily performed using absorbable plates.
孤立性颧骨凹陷性骨折通常采用闭合复位治疗。复位通常通过 Gillies 入路或 Keen 入路进行。粉碎性颧骨骨折通常需要切开复位和固定才能获得良好的效果。本文描述了如何使用一对手术模板辅助可吸收板固定粉碎性颧骨骨折。
应用一对计算机设计的手术模板来恢复颧骨的主要部分。将手术模板放置在颧骨的内侧可以提供支撑力，并提高复位骨碎片的稳定性。外侧颧骨模板限制了骨碎片的过度上提。
按照预定的程序进行手术。术后 CT 显示满意的复位效果。结论：借助手术模板，使用可吸收板更容易进行粉碎性颧骨骨折的复位和固定。
