ヤマキ　タカシ   八巻　隆    所属   医学部 医学科（附属足立医療センター）    職種   教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Semi-closed reduction of tripod fractures of zygoma under intraoperative assessment using ultrasonography.
掲載誌名	正式名：Journal of plastic, reconstructive&aesthetic surgery : JPRAS 略　 称：J Plast Reconstr Aesthet Surg ISSNコード：1878-0539(Electronic)1748-6815(Linking)
巻・号・頁	62(4),pp.499-505
著者・共著者	Soejima Kazutaka, Sakurai Hiroyuki, Nozaki Motohiro, Kitazawa Yoshihiko, Takeuchi Masaki, Yamaki Takashi, Kono Taro
担当区分	責任著者
発行年月	2009/04
概要	INTRODUCTION:We conducted semi-closed reduction of isolated tripod fractures of the zygoma through only a brow incision under intraoperative assessment with ultrasonography.METHODS:Twenty-three patients with unilateral, non-comminuted tripod fractures of zygoma were selected for application of this method at Tokyo Women's Medical University and Tokyo Metropolitan Hiroo General Hospital between April 2002 and April 2006. Patients with orbital floor blowout fractures were excluded. A skin incision was made only at the lateral brow region and the reduction was performed by inserting an elevator beneath the zygomatic arch. The bone alignment was intraoperatively assessed by ultrasonography. When the reduction was accurate, the frontozygomatic suture was immobilised with a mini-plate under direct visualisation and transmaler Kirshner wire fixation was performed. The accuracy of the reduction and postoperative movement were evaluated by computed tomography (CT) scans taken at 1 and 6 months. In five cases, the DICOM (Digital Imaging and Communication in Medicine) data from the CT were analysed with 3D imaging software (V-works, CyberMed Co., Korea).RESULTS:In all cases, accurate reduction was obtained. The analysis of the 3D imaging data revealed that postoperative movement of bone fragment was minimal.CONCLUSIONS:When the accurate reduction was obtained under intraoperative assessment, the semi-closed reduction and one-plate fixation with transmaler Kirshner wire is enough to treat the simple tripod fractures of zygoma. This method is minimally invasive and takes less operative time.
文献番号	19334322