Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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The Avalibility of C-Arm in Reduction of Zygomatic Arch Fracture Intraoperatively: Case Report

관골궁 골절의 정복시 수술 중 C-Arm 사용의 유용성: 증례보고

  • Seo, Mi-Hyun (Department of Oral and Maxillofacial Surgery, Boramae Hospital Dental Clinic, Seoul National University) ;
  • Cheon, Kang-Yong (Department of Oral and Maxillofacial Surgery, Boramae Hospital Dental Clinic, Seoul National University) ;
  • Yun, Jun-Yong (Department of Oral and Maxillofacial Surgery, Boramae Hospital Dental Clinic, Seoul National University) ;
  • Yoo, Chung-Kyu (Department of Oral and Maxillofacial Surgery, Boramae Hospital Dental Clinic, Seoul National University) ;
  • Lee, Eun-Kyung (Department of Oral and Maxillofacial Surgery, Boramae Hospital Dental Clinic, Seoul National University) ;
  • Lee, Won-Deok (Department of Oral and Maxillofacial Surgery, Boramae Hospital Dental Clinic, Seoul National University) ;
  • Suh, Je-Duck (Department of Oral and Maxillofacial Surgery, Boramae Hospital Dental Clinic, Seoul National University)
  • 서미현 (서울대학교 보라매병원 치과, 구강악안면외과) ;
  • 천강용 (서울대학교 보라매병원 치과, 구강악안면외과) ;
  • 윤준용 (서울대학교 보라매병원 치과, 구강악안면외과) ;
  • 유충규 (서울대학교 보라매병원 치과, 구강악안면외과) ;
  • 이은경 (서울대학교 보라매병원 치과, 구강악안면외과) ;
  • 이원덕 (서울대학교 보라매병원 치과, 구강악안면외과) ;
  • 서제덕 (서울대학교 보라매병원 치과, 구강악안면외과)
  • Received : 2010.02.04
  • Accepted : 2010.06.21
  • Published : 2010.07.30
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Abstract

The zygoma is second most commonly vulnerable facial bone in fracture, in number only by nasal fractures. It is difficult to evaluate reduction state intraoperatively, because almost surgeons reduce the fractured zygoma by blind method. We suggest the use of orthopedic C-arm intraoperatively. We use plain radiography, CT to evaluate preoperative state. Gilles approach or intraoral approach were used to reduce the fractured zygomatic arch. The C-arm was positioned at chin area, used to evaluate reduction intraoperatively. We got postoperative image by CT or submento-vertex view. There are variable methods to evaluate reduction intraoperatively: palpation, ultrasonography, CT, plain films. C-arm is considered superior diagnostic tool to other methods. The use of intraoperative C-arm was very efficient, it could bring better results.

Keywords

References

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