관골골절의 치료 : 심한 변위 및 분쇄골절된 관골골절에 있어서 extended approach 및 정복시 관골궁의 중요성
Management of zygoma fracture : extened approach and importance of zygomatic arch as a guidance for reduction
전주홍, 류재상,
소속 상세정보
전주홍 ( ) - 충남대학교
류재상 ( ) - 충남대학교
KMID : 0355619950210010101
Abstract
Traditional 3-point reduction may not restore proper projection of the zygomatic prominence following a comminuted or severely displaced fracture of the zygoma. In such cases, reconstruction of zygomatic arch as a 4th reference point for proper
reduction of fracture increases the accuracy of the reconstruction of zygomatic complex. Although the extended approach required to repair the arch increases operation time, its use is justified by the improved results in selected patients with
severely
displaced or comminuted fracture of zygoma.
16 zygomatic complex and adjacent structures have been exposed through a coronal incision following acute trauma or for correction of posttraumatic zygomatic deformity in our clinic from July, 1993 to August, 1994 and have been reconstructed
through
accurate reduction of zygomatic arch.
@TH 소아 중안모 골절환자의 반흔 교정술을 통한 치험례
@TE A case report of scar revision in pediatric midfacial fracture
@AU 정인교, 김성길
@PG 111
@EN Midface are rare in children. The soft, resilient bony structure of the jaws in children is able to sustain a considerable impact without fracture. The method of reduction and fixation should take into accout developing tooth bud and every
effort
should be made to damage to them
The treatment of the facial skeleton is difficult because teeth are too few for the fixation. Following fracture of the infantile facial skeleton, growth defects may appear caused by damage to the growth centers, sear formation and impaired
function.
In this case, we perfomed the ORIF and primary closure on Le-Fort Ⅱcombined with facial deep laceration in 8 year old boy duffered from traffic accident. After 1 year we removed piate on maxilla. Then we revised the scar tissues with elliptical
excision, Z-plasty, W-plasty and got the favorable result.
Finally, we got good cosmetic result using scar revision without significant functional restricion, growth impairment in this case.
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