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Logo of archplastsurgArchives of Plastic SurgeryThis ArticleFor Contributorse-Submission
 
Arch Plast Surg. Sep 2012; 39(5): 556–560.
Published online Sep 12, 2012. doi:  10.5999/aps.2012.39.5.556
PMCID: PMC3474416
Reduction of Zygomatic Fractures Using the Carroll-Girard T-bar Screw
Ji Eun Baek, Chan Min Chung, and In Pyo Hongcorresponding author
Department of Plastic and Reconstructive Surgery, National Medical Center, Seoul, Korea.
corresponding authorCorresponding author.
Correspondence: In Pyo Hong. Department of Plastic and Reconstructive Surgery, National Medical Center, 245 Eulji-ro, Jung-gu, Seoul 100-799, Korea. Tel: +82-2-2260-7207, Fax: +82-2-2263-8531, nmcps/at/unitel.co.kr
Received June 11, 2012; Revised August 2, 2012; Accepted August 6, 2012.
Abstract
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.
Keywords: Zygomatic fracture, Reconstructive surgical procedures, Equipment and supplies
Articles from Archives of Plastic Surgery are provided here courtesy of
Korean Society of Plastic and Reconstructive Surgeons