不正癒合된 觀骨骨折의 變形된 冠狀側頭皮辨術을 利用한 外科的 改善에 對한 治驗例

Surgical correction of malunioned malar bone fractures by modified temporal approach

Sometimes, indirect temporal approach produces the limitation of manipulation, and other methods are often inadequate in surgical correction of deformed or malunioned cases. The authers observed 2 cases of malunioned zygomatic fractures in young adults. The malar eminences were examined for proportion and symmetry by reviewing the patient s face from below and above in addition to the conventional full-face and profile examination. As it was decided that the malar bones were, in fact, retruded, their surgical advancement or agumentation might be indicated. These malunioned cases were corrected by modified temporal flap approach. The obtained results were as follows; 1. Could be manipulated more easily in the operation field. 2. Prevented and improved the cosmetic problems. 3. Lesser danger to important anatomic structures.