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Novel Surgical Technique for Repair of Zygomatic Fractures: Lever Technique.
Plast Surg (Oakv) 2019; 27(2):135-140PS

Abstract

Background

Zygoma is a very crucial component for the anteroposterior positioning of the midface and for the maintenance of facial contours. Zygomatic fractures are considered as the second most common type of facial fractures following nasal fractures. We have developed a new reduction technique called "lever," which is based on the application of lifting force as an alternative to the methods in which the pulling force is applied.

Patients

Over a 12-year period, 90 patients were treated with minimal access approach and 130 patients were treated with open reduction internal fixation (ORIF), using the lever technique.

Results

In the follow-up period, no complications occurred in any of the patients who underwent minimal access approach. Miniplate removal operation was performed in 3 of the patients. Enophthalmos developed in one patient. Since 4 of the 7 suboptimal reduction patients did not experience any functional or cosmetic problems, no treatment was necessary and the remaining 3 patients underwent fat graft due to the presence of malar depression.

Conclusion

This minimally invasive surgical procedure we have developed can be successfully used both in the minimal access approach and in ORIF, especially in delayed cases. We recommend this method due to the reasons that it is safe to conduct, easy to learn, fast to apply, simple to perform, and also economical to deploy.

Authors+Show Affiliations

Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey.Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey.Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey.Department of Plastic Reconstructive and Aesthetic Surgery, Erzurum Training and Research Hospital, Erzurum, Turkey.Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey.Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31106171

Citation

Cinal, Hakan, et al. "Novel Surgical Technique for Repair of Zygomatic Fractures: Lever Technique." Plastic Surgery (Oakville, Ont.), vol. 27, no. 2, 2019, pp. 135-140.
Cinal H, Barin EZ, Çakmak MA, et al. Novel Surgical Technique for Repair of Zygomatic Fractures: Lever Technique. Plast Surg (Oakv). 2019;27(2):135-140.
Cinal, H., Barin, E. Z., Çakmak, M. A., Kara, M., Yilmaz, K., & Tan, O. (2019). Novel Surgical Technique for Repair of Zygomatic Fractures: Lever Technique. Plastic Surgery (Oakville, Ont.), 27(2), pp. 135-140. doi:10.1177/2292550319828791.
Cinal H, et al. Novel Surgical Technique for Repair of Zygomatic Fractures: Lever Technique. Plast Surg (Oakv). 2019;27(2):135-140. PubMed PMID: 31106171.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Novel Surgical Technique for Repair of Zygomatic Fractures: Lever Technique. AU - Cinal,Hakan, AU - Barin,Ensar Zafer, AU - Çakmak,Mehmet Akif, AU - Kara,Murat, AU - Yilmaz,Kerem, AU - Tan,Onder, Y1 - 2019/03/13/ PY - 2020/05/01/pmc-release PY - 2019/5/21/entrez PY - 2019/5/21/pubmed PY - 2019/5/21/medline KW - closed zygoma reduction KW - facial trauma KW - minimal access approach KW - open zygoma reduction KW - zygomatic arch fracture KW - zygomatic fracture SP - 135 EP - 140 JF - Plastic surgery (Oakville, Ont.) JO - Plast Surg (Oakv) VL - 27 IS - 2 N2 - Background: Zygoma is a very crucial component for the anteroposterior positioning of the midface and for the maintenance of facial contours. Zygomatic fractures are considered as the second most common type of facial fractures following nasal fractures. We have developed a new reduction technique called "lever," which is based on the application of lifting force as an alternative to the methods in which the pulling force is applied. Patients: Over a 12-year period, 90 patients were treated with minimal access approach and 130 patients were treated with open reduction internal fixation (ORIF), using the lever technique. Results: In the follow-up period, no complications occurred in any of the patients who underwent minimal access approach. Miniplate removal operation was performed in 3 of the patients. Enophthalmos developed in one patient. Since 4 of the 7 suboptimal reduction patients did not experience any functional or cosmetic problems, no treatment was necessary and the remaining 3 patients underwent fat graft due to the presence of malar depression. Conclusion: This minimally invasive surgical procedure we have developed can be successfully used both in the minimal access approach and in ORIF, especially in delayed cases. We recommend this method due to the reasons that it is safe to conduct, easy to learn, fast to apply, simple to perform, and also economical to deploy. SN - 2292-5503 UR - https://www.unboundmedicine.com/medline/citation/31106171/Novel_Surgical_Technique_for_Repair_of_Zygomatic_Fractures:_Lever_Technique DB - PRIME DP - Unbound Medicine ER -