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KMID : 0358819950220030517
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1995 Volume.22 No. 3 p.517 ~ p.522
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DIRECT TRANSCUTANEOUS REDUCTION OF ZYGOMA FRACTURE WITH THREADED K-WIRE
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Abstract
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The zygomatic projections articulate with sphenoid, frontal bone, maxilla and maxillary alveolus.
The prominent position of zygoma make it susceptible to traumatic injury. The fracture displacement is classified into several types.
According to the degree of displacement and fracture segments, the method of its treatment is decided.
In the cases of closed reduction, Gillies´or Dingman´s maneuver have been applied for the lifting and pulling of displaced zygoma, even though the open reduction was indicated. In my personal opinion, there are some difficulties and disadvantages because this method is indirect reduction of the fractured zygoma.
The author designed a new direct transcutaneous reductionmethod with threaded K-wire and applied this method to some cases.
The author conclude the advantages of this method are as followings.
1) There is no destruction of fine submuscular structure around lower eyelid and zygoma.
2) There are no incision on the face and scalp.
3) The relapse of the displacement was not occurred.
4) The surgical method is very simple.
5) It takes very short(10 15 minutes)
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