The zygomatic carch is broken and it has been 18 days since then. is it okay to undergo a surgery through Keen's approach to fix it or is it too late for it? Or are they going to be any negative after effects of it?
December 27, 2014
Answer: Tick Tock Isolated zygomatic arch fractures can be reduced through a Keen (through the mouth) or Gilles (through the scalp) approach. As the bone heals, the bone becomes more difficult to reduce (put back in place); therefore, the bone should be reduced as soon as practical. The long-term success of the reduction is dependent on multiple factors. Often the reduction is unstable (does not stay reduced) because of the action of the muscles on the bone and / or because of the multiple bone fragments. In these situations, patients may have to either accept a slight bony deformity (depression) or consent to reduction and internal fixation through a more invasive (coronal) approach. A detailed examination and review of a CT scan of the face will help delineate the best surgical option. Consultation with a plastic surgeon would be the next best step.
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December 27, 2014
Answer: Tick Tock Isolated zygomatic arch fractures can be reduced through a Keen (through the mouth) or Gilles (through the scalp) approach. As the bone heals, the bone becomes more difficult to reduce (put back in place); therefore, the bone should be reduced as soon as practical. The long-term success of the reduction is dependent on multiple factors. Often the reduction is unstable (does not stay reduced) because of the action of the muscles on the bone and / or because of the multiple bone fragments. In these situations, patients may have to either accept a slight bony deformity (depression) or consent to reduction and internal fixation through a more invasive (coronal) approach. A detailed examination and review of a CT scan of the face will help delineate the best surgical option. Consultation with a plastic surgeon would be the next best step.
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January 2, 2015
Answer: Facial fracture it is not necessary to fix all facial fractures. Surgical intervention is determined by several factors. If you have no facial deformity and/or painful mouth movements like chewing or malalignment of your teeth, then there's no indication to fix the fracture.
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January 2, 2015
Answer: Facial fracture it is not necessary to fix all facial fractures. Surgical intervention is determined by several factors. If you have no facial deformity and/or painful mouth movements like chewing or malalignment of your teeth, then there's no indication to fix the fracture.
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