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Background and Objectives:The zygomatic arch of midface is related to facial contour between skull base and zygomatic bone. ke limitation of mouth opening. Therefore, the corect diagnosis and adequate treatment of zygomatic arch fractures are needed in early stage and the correct evaluation of repositioned fragment during operation is important for the recovery of cosmetic and functional problem. The aim of this study is to estimate the value of ultrasonography as an intraoperative repositioning monitor in the reduction of zygomatic arch fractures. Subjects and Method:In the period from March of 2005 to October of 2006, 11 patients who had itioned de-presed bony fragments via Gillies aproach and evaluated continuously the repositioned state of bony fragments during operation using ultrasonography with 7.5 MHz linear transducer. Results:There were 10 men and one woman, ranging in age from 19 to 74 years. All patients had chief complaints for trismus and pain of afected site and on physical examination, facial swelling, tendernes after postoperative 3 months, all patients showed good facial contour, wel stabilized bony fragments and good alignment of zygo-matic arch. Conclusion:The authors suggest that ultrasonography is a very useful tool for the treatment of an intraoperative repo-sitioning monitory of zygomatic arch fractures. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :608-11)

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