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KMID : 0390220130240020270
Journal of Clinical Otolaryngology, Head and Neck Surgery
2013 Volume.24 No. 2 p.270 ~ p.275
C-arm Assisted Reduction via Gillies Approach of Zigomatic Tripod Fx. : Two Cases Report
Suk Sang-Hyok

Kim Bo-Young
Choi So-Hee
Bae Ki-Beom
Abstract
Many surgical approaches for reduction of zygomatic fractures have been reported, which include Gilles approach, transnasl approach, transoral approach, subcilliary approach, lateral canthal approach, eyebrow approach and transconjunctival approach, etc. The choice of surgical approach and materials for reduction of zygomatic fracture depends on the type of fracture, the surgeon¡¯s experience and preference. In case of zygomatic tripod fracture, reduction was performed frequently by open reduction and internal fixation. However open reduction has significant drawbacks such as facial scar, facial nerve injury and blindness. Compared with open reduction, closed reduction has many advantages, which are short operative time, minimal incision, cost-effectiveness. But paucity of closed reduction was exist such as inaccurate reduction and delayed displacement. To overcome theses faults, the authors performed semi-closed reduction for the tripod fracture under intraoperative assessment using C-arm in two cases.
KEYWORD
C-arm, Tripod fracture, Gillies approach
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