지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 325 - 332 (8page)
이용수
초록· 키워드
오류제보하기
Background Zygomaticomaxillary complex (ZMC) fractures mostly occur in the form of tripod fractures. The surgical field is accessed using a combination of three classic approaches. However, the subciliary incision may have unfavorable aesthetic results. Herein, the authors report the advantages of the extended transconjunctival approach (ETA) combined with T-bar screw reduction in minimizing scarring and complications for the treatment of ZMC fractures. Methods A total of 26 patients underwent ZMC reduction through the ETA and intraoral approach. A skin incision measuring roughly 5 to 8 mm in length was placed following the lateral canthal skin crease. After releasing the inferior crus of the lateral canthal tendon for canthotomy, the medial periosteum of the lateral orbital rim was preserved for canthal reattachment. A limited subperiosteal dissection and partial relaxing incision of the orbicularis oculi were performed to expose the fracture line of the inferior orbital rim and zygomaticofrontal suture. Reduction was performed using a T-bar screw through the transconjunctival incision and an elevator through the intraoral incision. Results The aesthetic and functional results were excellent. Successful reduction was achieved and the skin incision was less than 8 mm in 20 cases (76.9%). Only six patients had an additional skin incision (less than 5 mm) to achieve reduction. No cases of ectropion, entropion, or excessive scarring were noted. Conclusions The ETA using a T-bar screw is a useful method for maximizing aesthetic results in ZMC fractures, with the advantages of minimal scarring, faster recovery, and maintenance of pretarsal fullness.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Chang EL / 2005 / Simplified repair of zygomatic fractures through a transconjunctival approach / Ophthalmology 112:1302~1309
Paik Kwon Lee / 2006 / Single Transconjunctival Incision and Two-point Fixation for the Treatment of Noncomminuted Zygomatic Complex Fracture / Journal of Korean Medical Science 21(6):1080~1085
Kim DW / 2009 / Versatile use of extended transconjunctival approach for orbital reconstruction / Ann Plast Surg 62:374~380
Uemura T / 2001 / C-shape extended transconjunctival approach for the exposure and osteotomy of traumatic orbitozygomaticomaxillary deformities / J Cra- niofac Surg 12:603~607
Martinez AY / 2012 / Y modification of the transcon- junctival approach for management of zygomaticomaxillary complex fractures: a technical note / J Oral Maxillofac Surg 70:97~101
Paik Kwon Lee / 2006 / Single Transconjunctival Incision and Two-point Fixation for the Treatment of Noncomminuted Zygomatic Complex Fracture / Journal of Korean Medical Science 21(6):1080~1085
Kim DW / 2009 / Versatile use of extended transconjunctival approach for orbital reconstruction / Ann Plast Surg 62:374~380
Uemura T / 2001 / C-shape extended transconjunctival approach for the exposure and osteotomy of traumatic orbitozygomaticomaxillary deformities / J Cra- niofac Surg 12:603~607
Martinez AY / 2012 / Y modification of the transcon- junctival approach for management of zygomaticomaxillary complex fractures: a technical note / J Oral Maxillofac Surg 70:97~101
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