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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Cheon, Ji Seon (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine) Seo, Bin Na (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine) Yang, Jeong Yeol (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine) Son, Kyung Min (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제5호
발행연도
2013.1
수록면
546 - 552 (7page)

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Background The zygoma is a major portion of the midfacial contour. When deformity occurs in this area, a reduction should be conducted to correct it. If a sagittal fracture at the temporal root of the zygomatic arch occurs, this also requires reduction, but it is difficult to approach due to its anatomical location, and the possibility of fixation is also limited. Thus, the authors attempted the reduction of sagittal fracture by two- or three-point fixation and the Gillies approach without direct manipulation. The preoperative and postoperative results of the patients were evaluated. Follow-up was performed to establish a treatment guideline. Methods A retrospective study was done with 40 patients who had sagittal fractures at the temporal root of the zygomatic arch from March 2009 to June 2012. Only two- or three-point fixation was performed for the accompanying zygomatic-orbital-maxillary fracture. The Gillies approach was used for complex fractures of the zygomatic arch, while the temporal root of the zygomatic arch was only observed without reduction. Preoperative and postoperative computed tomography and X-ray scans were performed to examine the results. Results The result of the paired t-test on preoperative and postoperative bone gap differences, the depression level, and the degree of temporal protrusion showed a marked decrease in the mean difference at a 95% confidence interval. The results were acceptable. Conclusions In the treatment of sagittal fractures at the temporal root of the zygomatic arch, it is acceptable to use indirect reduction and non-fixation methods. This leads to a satisfactory aesthetic and functional outcome.
#Zygomatic fractures #Facial asymmetry #Follow-up studies

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참고문헌 (15)

참고문헌 신청
Ha SI / 1998 / A long term follow up of reduced isolated zygomatic arch fracture by Gillies’ approach / J Korean Soc Plast Reconstr Surg 25:76~84 google schola Stevens MR / 1993 / Microscrew fixation of zygomatic arch fractures / J Oral Maxillofac Surg 51:1158~1159 google schola Gruss JS / 1990 / The importance of the zygomatic arch in complex midfacial fracture repair and correction of posttraumatic orbitozygomatic deformities / Plast Reconstr Surg 85:878~890 google schola Evans BG / 2008 / MOC-PSSM CME article: zygomatic fractures / Plast Reconstr Surg 121:1~11 google schola Hollier LH / 2003 / The management of orbitozygomatic fractures / Plast Reconstr Surg 111:2386~2392 google schola

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