Arch Craniofac Surg.  2016 Dec;17(4):198-201. 10.7181/acfs.2016.17.4.198.

Reduction of Zygomatic Arch Isolated Fracture Using Ultra Sound and Needle Marking

• Kim JS
• Park YJ
• Lee YJ
• Kim NG
• Lee KS

• KMID: 2364347
• DOI: http://doi.org/10.7181/acfs.2016.17.4.198

Abstract

BACKGROUND
Zygomatic arch is a bony arch constituting the lateral midface, which consists of 25% of all midface fractures. There are a number of ways to evaluate the extent of zygomatic arch fracture. Some authors have reported successful treatment outcomes using ultrasound (U/S). To add to the previous methods, we have considered ways to accurately display the location of the fracture line while using U/S with 23 gauge needle marking. We introduce our method, which provided satisfactory results for reduction using a portable U/S, and it can evaluate the fracture line simultaneously when reduction of an isolated zygomatic arch fracture is necessary, and needle marking, which can easily point out the fracture line on U/S.
METHODS
We studied 21 patients with an isolated zygomatic arch fracture who underwent closed reduction using U/S and needle marking between 2013 and 2015.
RESULTS
We achieved satisfactory results in all our cases with respect to reduction by using the Dingman elevator after performing a temporal approach incision, while confirming relative positioning between needle marking and zygomatic fracture at the same time, after insertion of a 23 gauge needle in the skin above the zygomatic arch fracture line parallel to it.
CONCLUSION
We treated 21 patients with an isolated zygomatic arch fracture using U/S and the needle marking method, which provided satisfactory results because the extent of reduction of the fracture could be evaluated in real-time during the operation and exposure to radiation was reduced.

Keyword

Zygomatic fractures; Facial bones; Needles

MeSH Terms

Elevators and Escalators
Facial Bones
Humans
Methods
Needles*
Skin
Ultrasonography
Zygoma*
Zygomatic Fractures