Reduction of Zygomatic Fractures Using the Carroll-Girard T-bar Screw

 

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Zygomatic fractures are the second most common facial bone fractures encountered and treated by plastic surgeons. Stable fixation of fractured fragments after adequate exposure is critical for ensuring three-dimensional anatomic reduction. Between January 2008 and December 2010, 17 patients with zygomatic fractures were admitted to our hospital; there were 15 male and 2 female patients. The average age of the patients was 41 years (range, 19 to 75 years). We exposed the inferior orbital rim and zygomatic complex through a lateral brow, intraoral, and subciliary incisions, which allowed for visualization of the bone, and then the fractured parts were corrected using the Carroll-Girard T-bar screw. Postoperative complications such as malar asymmetry, diplopia, enophthalmos, and postoperative infection were not observed. Lower eyelid retraction and temporary ectropion occurred in 1 of the 17 patients. Functional and cosmetic results were excellent in nearly all of the cases. In this report, we describe using the Carroll-Girard T-bar screw for the reduction of zygomatic fractures. Because this instrument is easy to use and can rotate to any direction and vector, it can be used to correct displaced zygomatic bone more accurately and safely than other devices, without leaving facial scars.

This article was presented as a poster at the 67th Congress of the Korean Society of Plastic and Reconstructive Surgeons on November 19-22, 2009 in Seoul, Korea.

Publication History

Received: 11 June 2012

Accepted: 06 August 2012

Article published online:
01 May 2022

© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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• REFERENCES

• 1 Meslemani D, Kellman RM. Zygomaticomaxillary complex fractures. Arch Facial Plast Surg 2012; 14: 62-66
  CrossrefPubMedGoogle Scholar
• 2 Kelley P, Hopper R, Gruss J. Evaluation and treatment of zygomatic fractures. Plast Reconstr Surg 2007; 120: 5S-15S
  PubMedGoogle Scholar
• 3 Kreutziger KL. Zygomatic fractures: reduction with the T-bar screw. South Med J 1992; 85: 1193-1202
  CrossrefPubMedGoogle Scholar
• 4 Knight JS, North JF. The classification of malar fractures: an analysis of displacement as a guide to treatment. Br J Plast Surg 1961; 13: 325-339
  PubMedGoogle Scholar
• 5 Rohrich RJ, Janis JE, Adams Jr WP. Subciliary versus subtarsal approaches to orbitozygomatic fractures. Plast Reconstr Surg 2003; 111: 1708-1714
  CrossrefPubMedGoogle Scholar
• 6 Hollier LH, Thornton J, Pazmino P. et al. The management of orbitozygomatic fractures. Plast Reconstr Surg 2003; 111: 2386-2392
  CrossrefPubMedGoogle Scholar
• 7 Chang EL, Hatton MP, Bernardino CR. et al. Simplified repair of zygomatic fractures through a transconjunctival approach. Ophthalmology 2005; 112: 1302-1309
  CrossrefPubMedGoogle Scholar
• 8 Karlan MS, Cassisi NJ. Fractures of the zygoma. A geometric, biomechanical, and surgical analysis. Arch Otolaryngol 1979; 105: 320-327
  CrossrefPubMedGoogle Scholar
• 9 Kaufman Y, Stal D, Cole P. et al. Orbitozygomatic fracture management. Plast Reconstr Surg 2008; 121: 1370-1374
  CrossrefPubMedGoogle Scholar