길리씨 접근법을 통한 협골궁 골절의 정복
Reduction of Isolated Zygomatic Arch Fractures with Gillies Approach
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Background and Objectives The incidence of facial bone fracture is increasing. The zygomaticbone, due to its anatomical prominence, is the second most common site of all facialbone fractures. In this study, we present the clinical experiences of zygomatic arch fracture ina tertiary hospital and introduce the Gillies approach for reduction and its outcome results. Subjects and Method We collected data from retrospective chart reviews of patients whounderwent surgeries from 2010 to 2017 for zygomatic arch fractures at Chungbuk NationalUniversity Hospital. Data were analyzed according to age, gender, cause of trauma, locationof trauma, and clinical symptoms including trismus. All surgery was performed under generalanesthesia and via the use of Gillies approach. The result of surgery was evaluated by postoperativefacial computed tomography. Results Sixteen patients underwent surgery for zygomatic arch fracture. The patients hadthe average age of 41.3 years, a male predominance of 15:1 and physical assault as the mostcommon cause of trauma. The time lag between injury and surgical reduction was 5.5 days. The surgical outcomes were assessed ‘good’ in 14 cases and ‘moderate’ in one case. Patientswho had trismus preoperatively were resolved of it in all cases after operation. Postoperativecomplications were absent. Conclusion The Gillies approach proved to be a relatively easy, safe, and reliable method, andits surgical outcomes was satisfactory in our experiences.
Abstract
Background and Objectives The incidence of facial bone fracture is increasing. The zygomaticbone, due to its anatomical prominence, is the second most common site of all facialbone fractures. In this study, we present the clinical experiences of zygomatic arch fracture ina tertiary hospital and introduce the Gillies approach for reduction and its outcome results. Subjects and Method We collected data from retrospective chart reviews of patients whounderwent surgeries from 2010 to 2017 for zygomatic arch fractures at Chungbuk NationalUniversity Hospital. Data were analyzed according to age, gender, cause of trauma, locationof trauma, and clinical symptoms including trismus. All surgery was performed under generalanesthesia and via the use of Gillies approach. The result of surgery was evaluated by postoperativefacial computed tomography. Results Sixteen patients underwent surgery for zygomatic arch fracture. The patients hadthe average age of 41.3 years, a male predominance of 15:1 and physical assault as the mostcommon cause of trauma. The time lag between injury and surgical reduction was 5.5 days. The surgical outcomes were assessed ‘good’ in 14 cases and ‘moderate’ in one case. Patientswho had trismus preoperatively were resolved of it in all cases after operation. Postoperativecomplications were absent. Conclusion The Gillies approach proved to be a relatively easy, safe, and reliable method, andits surgical outcomes was satisfactory in our experiences.
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