“A Bend to a Needle Makes the Arch Stable” a Modified Technique for Zygomatic Arch Reduction and Stabilization

Abstract

Background

Gillies temporal approach and intra oral supraperiosteal approach are the most commonly used approaches for reduction of isolated zygomatic arch fractures.

Purpose

To set forth a less invasive technique for reduction and stabilization of isolated zygomatic arch fractures.

Materials and Methods

A 24-G stainless steel wire is passed through a 16-G cannula needle and is shaped to form a semi-circle. The precontoured needle was then inserted into the inferior part of the depressed zygomatic arch and the tip passed out through the superior part. The wires are then twisted and pulled laterally to reduce the fracture and are tied over an external splint to stabilize the arch.

Conclusion

The technique discussed in this article is simple, less time consuming, cost effective and less traumatic than the conventionally performed techniques for reduction and stabilization of isolated zygomatic arch fractures.

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References

  1. 1.

    Kim Dong Kyu, Kim Seung Kyun, Lee Jun Ho (2014) Aqua splint suture technique in isolated zygomatic arch fractures. Eur Arch Otorhinolaryngol J 271(4):707–711

    Article  Google Scholar 

  2. 2.

    Vaithilingam Yuvaraj, Thomas Shaji, Singh Dal et al (2011) Awl versus intravenous cannula stillete in circummandibular wiring. Oral Maxillofac Surg 15:21–25

    Article  Google Scholar 

  3. 3.

    Bailey SJ and Goldwasser MS (2004) Management of Zygomatic Complex Fractures. In: Miloro M (ed) Peterson’s principles of oral and maxillofacial surgery, 2nd edn. People’s Medical Publishing House Co., Ltd, USA p 450

  4. 4.

    Wadhwani P, Bedi RS, Chauhan H, Mani S, Srivastava AP, Dixit R (2017) Surgical stent and C-Arm guided reduction and stabilization of isolated zygomatic arch fracture: a novel maneuver. Int J Oral Health Med Res 4(3):21–25

    Google Scholar 

Download references

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Correspondence to Arjun Madhu Usha.

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Edward, J., Samson, A., Madhu Usha, A. et al. “A Bend to a Needle Makes the Arch Stable” a Modified Technique for Zygomatic Arch Reduction and Stabilization. J. Maxillofac. Oral Surg. 20, 160–162 (2021). https://doi.org/10.1007/s12663-020-01334-x

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Keywords

  • Isolated zygomatic arch
  • Fracture
  • Modified technique
  • Stabilization