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The 'Manchester' method of minimal access fixation of the zygomatic arch in zygomatic complex fractures: a case series.
Khandavilli, Sunil Dixit; Cole-Healy, Zachary; Douglas, Andrew.
Afiliación
  • 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.
Br J Oral Maxillofac Surg ; 62(5): 493-497, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38782636
ABSTRACT
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas Cigomáticas / Procedimientos Quirúrgicos Mínimamente Invasivos / Fijación Interna de Fracturas Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Oral Maxillofac Surg Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas Cigomáticas / Procedimientos Quirúrgicos Mínimamente Invasivos / Fijación Interna de Fracturas Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Oral Maxillofac Surg Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido