The 'Manchester' method of minimal access fixation of the zygomatic arch in zygomatic complex fractures: a case series.

Autor: Khandavilli SD; Oral and Maxillofacial Surgery, Manchester Royal Infirmary, Oxford Rd, Manchester, M13 9WL, United Kingdom., Cole-Healy Z; Oral and Maxillofacial Surgery, Manchester Royal Infirmary, Oxford Rd, Manchester, M13 9WL, United Kingdom. Electronic address: Zachary.cole-healy@mft.nhs.uk., Douglas A; Oral and Maxillofacial Surgery, James Cook University Hospital, Marton Rd, Middlesbrough, TS4 3BW, United Kingdom.
Jazyk: angličtina
Zdroj: The British journal of oral & maxillofacial surgery [Br J Oral Maxillofac Surg] 2024 Jun; Vol. 62 (5), pp. 493-497. Date of Electronic Publication: 2024 Apr 26.
DOI: 10.1016/j.bjoms.2024.04.010
Abstrakt: We have introduced a minimally invasive approach for the fixation of the zygomatic arch during the surgical management of zygomatic complex fractures. Access for this technique is provided by a preauricular approach and eyelid incisions with the addition of transcutaneous stab incisions overlying the arch. These stab incisions allow transcutaneous drilling and screw placement through a size CH 20 (5.0 mm) paediatric nasopharyngeal airway (NPA). We present a case series of seven patients. In all patients the arch component was successfully reduced and fixed, and no intraoperative or postoperative complications were observed. The use of an NPA is novel. It functions as a flexible self-irrigating sleeve and protects the skin from mechanical and thermal damage. The technique uses readily available equipment, is easy to learn, and simplifies surgery to the zygomatic arch.
(Copyright © 2024 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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