Reduction of Zygomatic Fractures Using the Carroll-Girard T-bar Screw

Zygomatic fractures are the second most common facial bone fractures encountered and treated by plastic surgeons. Stable fixation of fractured fragments after adequate exposure is critical for ensuring three-dimensional anatomic reduction. Between January 2008 and December 2010, 17 patients with zyg...

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Main Authors: Ji Eun Baek, Chan Min Chung, In Pyo Hong
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2012-09-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.5.556
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author Ji Eun Baek
Chan Min Chung
In Pyo Hong
author_facet Ji Eun Baek
Chan Min Chung
In Pyo Hong
author_sort Ji Eun Baek
collection DOAJ
description Zygomatic fractures are the second most common facial bone fractures encountered and treated by plastic surgeons. Stable fixation of fractured fragments after adequate exposure is critical for ensuring three-dimensional anatomic reduction. Between January 2008 and December 2010, 17 patients with zygomatic fractures were admitted to our hospital; there were 15 male and 2 female patients. The average age of the patients was 41 years (range, 19 to 75 years). We exposed the inferior orbital rim and zygomatic complex through a lateral brow, intraoral, and subciliary incisions, which allowed for visualization of the bone, and then the fractured parts were corrected using the Carroll-Girard T-bar screw. Postoperative complications such as malar asymmetry, diplopia, enophthalmos, and postoperative infection were not observed. Lower eyelid retraction and temporary ectropion occurred in 1 of the 17 patients. Functional and cosmetic results were excellent in nearly all of the cases. In this report, we describe using the Carroll-Girard T-bar screw for the reduction of zygomatic fractures. Because this instrument is easy to use and can rotate to any direction and vector, it can be used to correct displaced zygomatic bone more accurately and safely than other devices, without leaving facial scars.
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spelling doaj.art-5634b60f558a4918ae03a3cc5309f8d52022-12-22T02:58:43ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-09-01390555656010.5999/aps.2012.39.5.556Reduction of Zygomatic Fractures Using the Carroll-Girard T-bar ScrewJi Eun Baek0Chan Min Chung1In Pyo Hong2Department of Plastic and Reconstructive Surgery, National Medical Center, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, National Medical Center, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, National Medical Center, Seoul, KoreaZygomatic fractures are the second most common facial bone fractures encountered and treated by plastic surgeons. Stable fixation of fractured fragments after adequate exposure is critical for ensuring three-dimensional anatomic reduction. Between January 2008 and December 2010, 17 patients with zygomatic fractures were admitted to our hospital; there were 15 male and 2 female patients. The average age of the patients was 41 years (range, 19 to 75 years). We exposed the inferior orbital rim and zygomatic complex through a lateral brow, intraoral, and subciliary incisions, which allowed for visualization of the bone, and then the fractured parts were corrected using the Carroll-Girard T-bar screw. Postoperative complications such as malar asymmetry, diplopia, enophthalmos, and postoperative infection were not observed. Lower eyelid retraction and temporary ectropion occurred in 1 of the 17 patients. Functional and cosmetic results were excellent in nearly all of the cases. In this report, we describe using the Carroll-Girard T-bar screw for the reduction of zygomatic fractures. Because this instrument is easy to use and can rotate to any direction and vector, it can be used to correct displaced zygomatic bone more accurately and safely than other devices, without leaving facial scars.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.5.556zygomatic fracturereconstructive surgical proceduresequipment and supplies
spellingShingle Ji Eun Baek
Chan Min Chung
In Pyo Hong
Reduction of Zygomatic Fractures Using the Carroll-Girard T-bar Screw
Archives of Plastic Surgery
zygomatic fracture
reconstructive surgical procedures
equipment and supplies
title Reduction of Zygomatic Fractures Using the Carroll-Girard T-bar Screw
title_full Reduction of Zygomatic Fractures Using the Carroll-Girard T-bar Screw
title_fullStr Reduction of Zygomatic Fractures Using the Carroll-Girard T-bar Screw
title_full_unstemmed Reduction of Zygomatic Fractures Using the Carroll-Girard T-bar Screw
title_short Reduction of Zygomatic Fractures Using the Carroll-Girard T-bar Screw
title_sort reduction of zygomatic fractures using the carroll girard t bar screw
topic zygomatic fracture
reconstructive surgical procedures
equipment and supplies
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.5.556
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