Evaluation of Fixation Techniques With Titanium Plates and Kirschner Wires for Zygoma Fractures: Preliminary Study

Moreno, Eduardo; Vasconcelos, Belmiro Cavalcanti do Egito; Carneiro, Suzana Célia de Aguiar Soares; Catunda, Ivson Souza; Melo, Auremir Rocha

doi:10.1016/j.joms.2012.06.169

Cited by 8 publications

(7 citation statements)

References 11 publications

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“…Moreno et al (2012) 1 report similar results in a study conducted to compare and determine the best treatment to be used for zygomatic fractures.…”

Section: Discussionmentioning

confidence: 77%

“…Fractures of the zygomatic-orbital complex (ZOC) are highly frequent, resulting mainly from traffic accidents, physical aggression, and sports activities 1 . The surgical treatment of ZOC fractures warrants particular attention due to the complex anatomy and possible involvement of other structures of the middle third of the face 2,3 .…”

Section: Introductionmentioning

confidence: 99%

“…The difficulty in ensuring the same anatomic position as prior to the trauma increases the risk of esthetic and functional problems, such as enophthalmos, diplopia (double vision), limited mouth opening, and facial asymmetry 2 . It is therefore necessary to restore the anatomy as it was prior to the trauma in order to recover function and esthetics 1,4,5 .…”

Section: Introductionmentioning

confidence: 99%

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Avaliação tomográfica de fraturas do complexo zigomático-orbitário tratadas com o auxílio de planejamento em Biomodelos / Tomographic evaluation of zygomatic-orbital fractures treated with planning on Biomodels

Sampaio¹,

Barbosa²,

Monteiro³

et al. 2021

BJDV

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A correção das fraturas do complexo zigomático-orbitário são desafiadoras ao cirurgião, pela complexidade da sua anatomia e sua intima relação com múltiplos ossos da face. A prototipagem rápida pode ser um instrumento auxiliar no planejamento cirúrgico dessas fraturas com o objetivo de devolver a anatomia anterior ao trauma. Este é um estudo tomográfico de fraturas zigomático-orbitarias que foram tratadas com o auxílio de planejamento em biomodelos. Métodos: Foram incluídos seis pacientes com fratura unilateral da região zigomática-orbitaria classificados como Knight e North tipo III, IV, V e VI. A cirurgia para redução e fixação da fratura foi planejada com o auxílio de biomodelos 3D, onde a hemiface não afetada foi espelhada sobre o lado fraturado, e as placas de fixação foram pré-moldadas se baseando no lado espelhado, com o objetivo de garantir a correta projeção. A qualidade da redução cirúrgica foi avaliada usando pontos quantificáveis (parede lateral da órbita, projeção ântero-posterior do zigoma e projeção do globo ocular), que foram mensurados nas imagens tomográficas pré e pós-operatórias. Resultados: Houve ganho estatisticamente positivo na variável de projeção anteroposterior do zigoma, porém a abordagem foi mais factível com poucos pontos de fratura. Conclusão: O planejamento com biomodelos se mostrou útil na recuperação da projeção zigomática, sendo necessário levar em consideração o alto custo e o tipo de fratura na hora de optar pelo planejamento com biomodelos.

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“…Moreno et al (2012) 1 report similar results in a study conducted to compare and determine the best treatment to be used for zygomatic fractures.…”

Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Avaliação tomográfica de fraturas do complexo zigomático-orbitário tratadas com o auxílio de planejamento em Biomodelos / Tomographic evaluation of zygomatic-orbital fractures treated with planning on Biomodels

Sampaio¹,

Barbosa²,

Monteiro³

et al. 2021

BJDV

Self Cite

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“…In 1950, Fryer [ 4 ] reported the use of K-wire for zygomatic fracture. Since then, several authors have reported their own modification of the K-wire technique [ 6 7 13 ]. The K-wire fixation method, although archaic, is used with consistency in certain types of zygomatic fractures.…”

Section: Discussionmentioning

confidence: 99%

Kirschner Wire Fixation for the Treatment of Comminuted Zygomatic Fractures

Kang

Jung

Kim

et al. 2015

Arch Craniofac Surg

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BackgroundThe Kirschner wire (K-wire) technique allows stable fixation of bone fragments without periosteal dissection, which often lead to bone segment scattering and loss. The authors used the K-wire fixation to simplify the treatment of laborious comminuted zygomatic bone fracture and report outcomes following the operation.MethodsA single-institution retrospective review was performed for all patients with comminuted zygomatic bone fractures between January 2010 and December 2013. In each patient, the zygoma was reduced and fixed with K-wire, which was drilled from the cheek bone and into the contralateral nasal cavity. For severely displaced fractures, the zygomaticofrontal suture was first fixated with a microplate and the K-wire was used to increase the stability of fixation. Each wire was removed approximately 4 weeks after surgery. Surgical outcomes were evaluated for malar eminence, cheek symmetry, Kwire site scar, and complications (based on a 4-point scale from 0 to 3, where 0 point is 'poor' and 3 points is 'excellent').ResultsThe review identified 25 patients meeting inclusion criteria (21 men and 4 women). The mean age was 52 years (range, 15-73 years). The mean follow up duration was 6.2 months. The mean operation time was 21 minutes for K-wire alone (n=7) and 52 minutes for K-wire and plate fixation (n=18). Patients who had received K-wire only fixation had severe underlying diseases or accompanying injuries. The mean postoperative evaluation scores were 2.8 for malar contour and 2.7 for K-wire site scars. The mean patient satisfaction was 2.7. There was one case of inflammation due to the K-wire.ConclusionThe use of K-wire technique was associated with high patient satisfaction in our review. K-wire fixation technique is useful in patient who require reduction of zygomatic bone fractures in a short operating time.

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“…5 There are various different methods for analyzing the postoperative results for the surgical treatment of zygoma fractures. 6,7 We present our experience in using an accurate method for tomographic orbital volume measurement 8,9 for the assessment of the efficacy, safety, and late outcomes of using a closed reduction and percutaneous Kirschner wire fixation of orbitozygomatic simple fractures.…”

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confidence: 99%

Closed Reduction and Percutaneous Kirschner Wire Fixation in the Treatment of Simple Zygoma Fractures

Ono

Cruz³

et al. 2014

Journal of Craniofacial Surgery

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Evaluation of Fixation Techniques With Titanium Plates and Kirschner Wires for Zygoma Fractures: Preliminary Study

Cited by 8 publications

References 11 publications

Avaliação tomográfica de fraturas do complexo zigomático-orbitário tratadas com o auxílio de planejamento em Biomodelos / Tomographic evaluation of zygomatic-orbital fractures treated with planning on Biomodels

Avaliação tomográfica de fraturas do complexo zigomático-orbitário tratadas com o auxílio de planejamento em Biomodelos / Tomographic evaluation of zygomatic-orbital fractures treated with planning on Biomodels

Kirschner Wire Fixation for the Treatment of Comminuted Zygomatic Fractures

Closed Reduction and Percutaneous Kirschner Wire Fixation in the Treatment of Simple Zygoma Fractures

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