Assessment of the Adequacy of Closed Reduction in Fractures of the Zygomatic Arch Using "C"-Arm Image Intensifier

Ramanoojam, Shandilya; Gadre, Pushkar; Shah, Shishir; Gadre, Kiran Shrikrishna

doi:10.1097/scs.0b013e31821cc116

Cited by 12 publications

(4 citation statements)

References 12 publications

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“…Guilles et al 10 used a temporal approach to the zygomatic arch, and Gillies approach is the most widely used method today. Since then, numerous closed reduction methods have been suggested to reduce the zygomatic arch involving the methods with a hook, 10 mosquito, 6 K-wire, 3,11,18 and even external suspensory devices. 12 However, these efforts are concentrated on the development of a new method of closed reduction.…”

Section: Discussionmentioning

confidence: 99%

Zygomatic Arch Fracture

Kim

Chung³

et al. 2014

Journal of Craniofacial Surgery

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Determining the optimal method for zygoma fracture reduction is a common challenge. Numerous methods for treating zygomatic arch fractures have been suggested. However, a substantial gap exists between suggested treatment strategies and real-world practice. A general consensus of classification and treatment guidelines for zygomatic arch reduction has not yet been established. We reviewed our cases and propose a new classification of zygomatic arch fracture and a treatment algorithm for successful reduction based on the injury vectors.

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Section: Discussionmentioning

confidence: 99%

Zygomatic Arch Fracture

Kim

Chung³

et al. 2014

Journal of Craniofacial Surgery

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“…A similar surgical technique was adopted in the control group and reduction of the fracture was assessed by using blind digit palpation method. 6…”

Section: Methodsmentioning

confidence: 99%

“…A similar surgical technique was adopted in the control group and reduction of the fracture was assessed by using blind digit palpation method. 6 Two point fixation (titanium/stainless steel mini-plate fixation) was performed at the frontozygomatic and buttress region, using a 4 hole straight/orbital mini-plate at the frontozygomatic region and a 4-hole L mini-plate at the buttress for all subjects 7 (Figures 9 and 10). A final ultrasonographic probing examination was performed post fixation to ensure proper reduction of the fractured segments at the frontozygomatic region, infraorbital rim and zygomatic buttress respectively (Figures 11 to 13).…”

Section: Surgical Protocolmentioning

confidence: 99%

Intraoperative Use of Ultrasonography in the Reduction of Zygomatico-Maxillary Complex Fractures

Jagdish

Ravindran

Chandrasekaran

2021

Craniomaxillofacial Trauma & Reconstruction

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Study Design: A single blind randomized controlled study. Objective: The aim of this study is to evaluate the use of ultrasonography intraoperatively to assess the reduction of unilateral zygomatic complex fractures with a control group using the conventional blind digit palpation. Methods: The study comprised of a sample size of 24 patients with 21 male and 3 female patients. Patients of all age groups diagnosed with unilateral displaced zygomatic complex fracture with or without mandible fracture were included in the study. The subjects were randomized into study and control groups based on a standard protocol with a total of 24 patients. Imaging was in the form of a preoperative and postoperative 3D computed tomography scan with reconstruction of the maxilla and mandible to interpret the diagnosis for all subjects. The inter-fracture distance of the fractured infraorbital rim were measured in 3 dimensions (antero-posterior, medio-lateral and supero-inferior) and compared pre and postoperatively. Preoperative, intraoperative and postoperative ultrasonographic examination was performed and recorded on all patients at the frontozygomatic region, infraorbital rim and zygomatic buttress to assess the proximity of the fractured margins pre reduction, post reduction and post fixation of the fracture segments. Result: Statistical analytic results were significant in all 3 dimensions when measured postoperatively using computed tomography. Conclusion: Ultrasonography is an effective screening and intraoperative tool in the armamentarium of oral and maxillofacial surgery to assess zygomatic complex fractures, avoiding incisions in aesthetic areas of the maxillofacial region.

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“…The advantages included immediate intraoperative imaging, fewer incisional wounds to achieve the same outcomes, and fewer operative and admission time, as well as lower learning curve for surgeons. Previous investigations have demonstrated good results in the reduction of zygomatic arch fracture [4,5] and simple ZMC fracture. [1] For comminuted ZMC fracture, the roles of the C-arm imaging are not as well characterized.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of a craniometry in a comminuted zygomaticomaxillary complex fracture

Hsu

Shih

2019

Medicine

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Few studies have reported on using craniometry for comminuted zygomaticomaxillary complex (ZMC) fracture management. We present our experiences with this procedure and a review of the related literature. From September 2011 to October 2018, 43 patients with comminuted ZMC fracture receiving open reduction internal fixation under coronal incision were enrolled. Data on gender, age, operation time, hospital stay, duration of follow-up, vertical/horizontal differences, and complications were collected. Between-group differences (C-arm imaging vs craniometry) were evaluated using nonparametric Mann–Whitney test for continuous data and chi-square test for categorical data. No significant difference were found between the groups regarding gender, age, hospital duration, follow-up duration, and postoperative complications, except for operation time. The averaged operation time was significantly shorter in the C-arm imaging group (4.217 h) than in the craniometry group (6.193 h). The C-arm imaging group had two cases with horizontal differences >3 mm and one case with vertical differences >3 mm. The craniometry group had four cases with horizontal differences >3 mm and four cases with vertical differences >3 mm. There were no significant differences between the two groups in horizontal differences and vertical differences. Craniometry may achieve the same outcomes as C-arm imaging in comminuted ZMC fracture management; however, the former requires more time than the latter.

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Assessment of the Adequacy of Closed Reduction in Fractures of the Zygomatic Arch Using "C"-Arm Image Intensifier

Cited by 12 publications

References 12 publications

Zygomatic Arch Fracture

Zygomatic Arch Fracture

Intraoperative Use of Ultrasonography in the Reduction of Zygomatico-Maxillary Complex Fractures

Feasibility of a craniometry in a comminuted zygomaticomaxillary complex fracture

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