Open Reduction and Non-fixation Method for the Zygoma Body Fracture.
- Author:
Bo Young PARK
1
;
Yang Woo KIM
;
So Ra KANG
Author Information
1. Department of Plastic and Reconstructive Surgery, Ewha Womans University Medical School, Seoul, Korea. yangwkim@hotmail.com
- Publication Type:Original Article
- Keywords:
Zygoma fracture;
Non-fixation method
- MeSH:
Depression;
Displacement (Psychology);
Facial Asymmetry;
Humans;
Hypesthesia;
Imidazoles;
Malocclusion;
Nitro Compounds;
Operative Time;
Postoperative Complications;
Skeleton;
Zygoma
- From:Journal of the Korean Cleft Palate-Craniofacial Association
2009;10(2):76-80
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Zygoma is a major portion of the midfacial skeleton, forms the malar prominence and the three adjacent bony articulations. Zygoma fracture is a very common in facial trauma. Open reduction and rigid fixation of displaced zygoma fractures are necessary to avoid immediate and delayed facial asymmetry and depression. However, it is possible to happen the complications related to the plates and screws. So, we planned to treat the 24 patients of Group II, III, IV zygoma fractures with precise reduction and non-fixation method via intraoral approach. METHODS: From August, 2006, to August, 2009, we treated 24 cases of zygoma fracture with reduction and non-fixation methods. Before the surgery, we choose the patients who could be treated with this method among the Group II, III, IV patients. RESULTS: No patients in this study had postoperative complications such as displacement of bony fragments, facial depression and asymmetry, malocclusion, hypoesthesia. Satisfactory aesthetic and functional results can be obtained. CONCLUSION: In the treatment of the zygoma fracture, it is possible to treat with precise reduction and non-fixation method. The greatest advantage is to decrease the operative time, no need to wide dissection, no complications related to the plates and screws. For the using of this method, it is necessary to choose the adequate patients through the preoperative planning.
