ABSTRACT
INTRODUCTION: Because of numerous negative sequelae with open techniques, endoscopic techniques are beginning to be widely used for maxillofacial fractures. Many endoscopic approaches for this area have been described according to several dissection plans and incisions. The aim of the present study was to report a new surgical incision and dissection method for zygomatic arch fracture that aims at reducing the complication rate of previously defined techniques. MATERIAL AND METHODS: The authors operated on 8 patients with a new endoscopic-assisted surgical technique. This study focused on evaluating the complication rate and surgical comfort of these patients. RESULTS: Of the 8 patients, the plate was palpable in the zygomatic arch in one. No complications occurred due to this technique during the 1-year follow-up. Symmetrical facial contour and inconspicuous scars were obtained in all patients. Average operative time was 3 hours; hospitalization time was 1.6 days. CONCLUSION: This study demonstrates that an endoscopic-assisted surgical approach with a preauricular mini-incision can be safely performed in isolated multifragment zygomatic arch fractures. Using individually designed plates improved our results. This technique is easy to apply, its cosmetic results are good, and its complication rate is low.
INTRODUCTION: En raison des nombreuses séquelles des techniques ouvertes, les techniques endoscopiques commencent à se généraliser en cas de fractures maxillofaciales. De nombreuses approches endoscopiques sont décrites dans cette zone en fonction de plusieurs plans de dissection et de plusieurs incisions. La présente étude visait à rendre compte d'une nouvelle méthode d'incision chirurgicale et de dissection en cas de fracture de l'arcade zygomatique afin de réduire le taux de complications des techniques déjà définies. MATÉRIAUX ET MÉTHODOLOGIE: Les auteurs ont opéré huit patients à l'aide d'une nouvelle technique chirurgicale endoscopique. La présente étude s'est attardée sur l'évaluation du taux de complications et du confort chirurgical de ces patients. RÉSULTATS: La plaque était palpable dans l'arcade zygomatique d'un des huit patients. Aucune complication n'a découlé de cette technique pendant le suivi d'un an. Tous les patients avaient un contour facial symétrique et des cicatrices discrètes. L'opération était d'une durée moyenne de trois heures et l'hospitalisation, de 1,6 jour. CONCLUSION: La présente étude démontre qu'une approche chirurgicale assistée par endoscopie avec mini-incision préauriculaire peut être effectuée en toute sécurité en cas de fractures isolées et multifragmentées de l'arcade zygomatique. L'utilisation d'une plaque personnalisée améliorait les résultats. Cette technique est facile à exécuter, donne de bons résultats esthétiques et s'associe à un faible taux de complications.
ABSTRACT
INTRODUCTION: Hand photography is effective and advantageous for assessing functional deficits and improvements related to surgery. In this study, it is aimed to investigate whether the correct active range of motion (ROM) is masked by the passive ROM in a wrist joint. METHOD: Eleven patients who were treated for unilateral wrist fractures were included in the study. Photography was performed in all patients by the same surgeon according to the conventional hand surgery photography approach and the active ROM photography approach. Differences between the noninjured side and injured side were assessed. RESULTS: No differences were found between the active ROM and passive ROM during the extension and flexion movements in the noninjured side group. However, in the injured side group, the results from the photographs obtained with the conventional method were significantly better than the results from the photographs obtained when the wrist was actively moved. CONCLUSION: These findings suggest that photographs of wrists during passive motion may affect the results of a treatment or study by showing false positivity. We propose obtaining images of active ROM instead of passive ROM in hand photography.
