The Journal of cranio-maxillofacial trauma
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J Craniomaxillofac Trauma · Jan 1997
Case ReportsThe use of the C-Arm in reduction of isolated zygomatic arch fractures: a technical overview.
Isolated zygomatic arch fractures account for approximately 10% of all zygoma fractures. Numerous techniques have been described to reduce these fractures using a variety of approaches. Successful reductions are often difficult to evaluate clinically because of the great amount of swelling that often accompanies these fractures. ⋯ This article describes a technique that uses the C-Arm to quickly and accurately evaluate the reduction intraoperatively so that appropriate corrections can be made. A case report of a patient who suffered multiple orthopedic injuries and a w-shaped depressed fracture of the left zygomatic arch is presented. The C-Arm can obviate the need for intraoperative radiographs that, due to technician and film processing delays, add significantly to operative time.
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J Craniomaxillofac Trauma · Jan 1997
Case ReportsTraumatic cranial defects reconstructed with the HTR-PMI cranioplastic implant.
Titanium mesh, polymethyl methacrylate application, and autogenous bone grafting have been used to reconstruct traumatic cranial defects, with varying success. A more recent technique utilizing hard tissue replacement-patient matched implants (HTR-PMIs) involves the production of a cranioplastic implant using three-dimensional computed tomography imaging. ⋯ Both patients exhibited satisfactory results and no postoperative complications. The authors believe this relatively new technique represents an advance in the management of large cranial defects.