J Korean Assoc Maxillofac Plast Reconstr Surg.  2010 Jul;32(4):359-362.

The Avalibility of C-Arm in Reduction of Zygomatic Arch Fracture Intraoperatively: Case Report

• Seo MH
• Cheon KY
• Yun JY
• Yoo CK
• Lee EK
• Lee WD
• Suh JD

Abstract

The zygoma is second most commonly vulnerable facial bone in fracture, in number only by nasal fractures. It is difficult to evaluate reduction state intraoperatively, because almost surgeons reduce the fractured zygoma by blind method. We suggest the use of orthopedic C-arm intraoperatively. We use plain radiography, CT to evaluate preoperative state. Gilles` approach or intraoral approach were used to reduce the fractured zygomatic arch. The C-arm was positioned at chin area, used to evaluate reduction intraoperatively. We got postoperative image by CT or submento-vertex view. There are variable methods to evaluate reduction intraoperatively: palpation, ultrasonography, CT, plain films. C-arm is considered superior diagnostic tool to other methods. The use of intraoperative C-arm was very efficient, it could bring better results.

Keyword

Zygomatic arch fracture; C-arm; Reduction

MeSH Terms

Chin
Facial Bones
Orthopedics
Palpation
Zygoma