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First percutaneous reduction and next external suspension with Steinmann pin and Kirschner wire of isolated zygomatic fractures

Authors
 Be-Young Yun Park  ;  Seung Yong Song  ;  In Sik Yun  ;  Dong Won Lee  ;  Dong Kyun Rah  ;  Won Jai Lee 
Citation
 JOURNAL OF CRANIOFACIAL SURGERY, Vol.21(4) : 1060-1065, 2010 
Journal Title
 JOURNAL OF CRANIOFACIAL SURGERY 
ISSN
 1049-2275 
Issue Date
2010
MeSH
Adolescent ; Adult ; Aged ; Bone Nails* ; Bone Wires* ; Child ; Female ; Fracture Fixation, Internal/instrumentation* ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Tomography, X-Ray Computed ; Treatment Outcome ; Zygomatic Fractures/diagnostic imaging ; Zygomatic Fractures/surgery*
Keywords
Zygoma ; fracture ; percutaneous reduction ; external suspension ; Kirschner wire
Abstract
We have introduced a less invasive, simple, and effective method for zygomatic fractures using percutaneous reduction with a Steinmann pin (S-pin) and temporary external suspension with a Kirschner wire (K-wire).For 2 years, 51 patients underwent first percutaneous reductions and then fixations, which is a method that we developed. After the S-pin no. 1 was percutaneously inserted at the most prominent point of the zygoma, closed reduction was first attempted using lever movement and temporary external suspension with a K-wire. If required, 1-site rigid fixation was performed on the zygomaticomaxillary buttresses via gingivobuccal incisions. Only 13 patients received K-wire suspensions and 38 patients received K-wire suspensions and lateral buttress fixations. We evaluated the postoperative result in 4 aspects (flattening, symmetry, scar, and paresthesia) using the 4-point visual analog score after at least 6 months.The mean maintenance period of the S-pin and K-wire was 12.3 days, and the mean operation time was 33 minutes. No serious complications, such as infections or external wire instability, were observed. Excellent or good results were achieved in more than 95% of patients in all 4 aspects mentioned.We believe that our method, which is the first percutaneous reduction using S-pin and temporary external suspensions with a K-wire with or without a lateral buttress rigid fixation, is a simple and effective method for noncomminuted zygomatic fractures
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00001665-201007000-00026&LSLINK=80&D=ovft
DOI
10.1097/SCS.0b013e3181e62cb2
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Rah, Dong Kyun(나동균)
Park, Beyoung Yun(박병윤)
Yun, In Sik(윤인식) ORCID logo https://orcid.org/0000-0003-1103-7047
Lee, Dong Won(이동원) ORCID logo https://orcid.org/0000-0003-0046-3139
Lee, Won Jai(이원재) ORCID logo https://orcid.org/0000-0003-3056-0503
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102279
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