PMID: 9523609Apr 2, 1998Paper

Portable fluoroscopy in the management of zygomatic arch fractures

Annals of Plastic Surgery
B J KobieniaW Schubert

Abstract

Operative methods that do not allow intraoperative visualization of the fracture fragments in patients with isolated zygomatic arch fractures often result in inadequate reduction. This article describes a technique using a portable, surgeon-operated fluoroscopic machine that can be used preoperatively, intraoperatively, and postoperatively in patients with isolated zygomatic arch fractures. Using the portable fluoroscopic unit, reduction of isolated zygomatic arch fractures was performed in 9 consecutive patients over a period of 1.5 years. Postoperative alignment was confirmed using computed tomography (CT). These CT images were compared with the fluoroscopic images in several of the patients. Eight of the nine fractures were reduced via an intraoral approach and one through a Gillies approach. All nine fractures were easily visualized and their reductions were confirmed with intraoperative dynamic visualization using a portable fluoroscopic unit. Postoperative CT revealed images of the reduction that were comparable with intraoperative and postoperative fluoroscopic images. The use of portable fluoroscopy intraoperatively allows for dynamic visualization of instrumentation and the immediate confirmation of the adequacy of fra...Continue Reading

Citations

Mar 9, 2002·Plastic and Reconstructive Surgery·Jochen A WernerBenedikt J Folz
Sep 5, 2009·Plastic and Reconstructive Surgery·Marcin CzerwinskiH Bruce Williams
Aug 4, 2010·Plastic and Reconstructive Surgery·Ruei-Feng ChenYu-Ray Chen
Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·James HoltonAlan Herford
Feb 1, 2011·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Jian-ping LiWei Deng
Jul 1, 2004·The British Journal of Oral & Maxillofacial Surgery·N Bali, V Lopes
Aug 2, 2005·International Journal of Oral and Maxillofacial Surgery·E J Woolley, D C Jones
Feb 20, 2007·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Kazuhiko YamamotoTadaaki Kirita
Jul 21, 2011·The Journal of Craniofacial Surgery·Shandilya RamanoojamKiran Shrikrishna Gadre
Jan 24, 2009·The Journal of Craniofacial Surgery·Warren Schubert, Kamrun Jenabzadeh
Apr 20, 2011·The Journal of Trauma·Tomoaki ImaiTatsuro Kai

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