관골골절의 치료

Management of zygoma fracture : extened approach and importance of zygomatic arch as a guidance for reduction

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.