gms | German Medical Science

129. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

24.04. - 27.04.2012, Berlin

Article

Send article

The role of intraoperative ultrasonography in zygomatic complex fracture repair

Meeting Abstract

Search Medline for

  • Marcel N. Cetindis - Universitätsklinikum Tübingen, Klinik und Poliklinik für Mund-, Kiefer-, Gesichtschirurgie, Tübingen
  • Dirk Gülicher - Universitätsklinikum Tübingen, Klinik und Poliklinik für Mund-, Kiefer-, Gesichtschirurgie, Tübingen
  • Joachim Polligkeit - Universitätsklinikum Tübingen, Klinik und Poliklinik für Mund-, Kiefer-, Gesichtschirurgie, Tübingen
  • Michael Krimmel - Universitätsklinikum Tübingen, Klinik und Poliklinik für Mund-, Kiefer-, Gesichtschirurgie, Tübingen
  • Siegmar Reinert - Universitätsklinikum Tübingen, Klinik und Poliklinik für Mund-, Kiefer-, Gesichtschirurgie, Tübingen

Deutsche Gesellschaft für Chirurgie. 129. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 24.-27.04.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12dgch209

doi: 10.3205/12dgch209, urn:nbn:de:0183-12dgch2097

Published: April 23, 2012

© 2012 Cetindis et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Introduction: Intraoperative assessment of the zygomatic arch is very important in achieving adequate repositioning. The correct alignment of the zygomatic arch indicates the proper position of the zygomatic bone and ensures adequate prominence of the lateral midfacial aspect.

Materials and methods: The aim of this study was to estimate the value of ultrasonography as an intraoperative repositioning control. In a clinical study of 25 patients, ultrasonography was employed for intraoperative visualization of the zygomatic arch before and after fracture repositioning. Twelve patients presented with isolated zygomatic arch fractures and 13 with combined fractures of the zygomatic bone and arch.

Results: The ultrasonographic findings were compared to the radiological and clinical findings. Ultrasonography was able to detect all fractures and dislocations of the zygomatic arch. It was possible to assess the repositioning in 24 out of 25 cases using ultrasonography. The ultrasound images were concordant with the radiographs. Clinical assessment by palpation only succeeded in isolated zygomatic arch fractures with an m-shaped impression, whereas it remained uncertain in nearly all cases with a different dislocation pattern.

Conclusion: Ultrasonography was rapid and easy to perform, and is recommended as an intraoperative visualizing tool in all midfacial fractures with displacement of the zygomatic arch.