Cアーム型外科用X線撮影装置を用いた頬骨弓単独骨折整復手術の経験 Experience of fluoroscopic reduction of isolated zygomatic arch fractures using a C-arm imaging system

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著者

    • 今井 智章 IMAI Tomoaki
    • 大阪府済生会千里病院歯科口腔外科 Department of Oral and Maxillofacial Surgery, Saiseikai Senri Hospital
    • 太田 嘉幸 OTA Yoshiyuki
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第2教室 Department of Oral and Maxillofacial Surgery II, Osaka University Graduate School of Dentistry

抄録

Displaced zygomatic arch fractures are usually indicated for surgical intervention. Since isolated zygomatic arch fractures are generally treated using blind methods, it is difficult to clinically assess the precise repositioning of the fracture fragments.<br>We present a C-arm technique for visualizing isolated zygomatic arch fracture reduction intraoperatively in 7 cases from July 2006 to June 2009. The patients without cervical cord injuries were positioned supine with their neck extended slightly on the operating room table. The C-arm was placed such that the patient's head lay between the X-ray tube and the image intensifier along the cephalocaudal axis. The fractures were percutaneously reduced using a hook; the hook was manipulated under imaging to position fractured fragments for an ideal shape of the zygomatic arch. The outcome of reduction was satisfactory due to excellent reduction in 4 cases and good reduction in 3 cases without fair or poor reduction. Although confirmation of these outcomes requires a clinical comparative study, intraoperative use of the C-arm imaging system for displaying dynamic bone reduction contributes to prevent the small percentage of unsatisfactory outcomes in isolated zygomatic arch fractures.

収録刊行物

  • 日本口腔科学会雜誌

    日本口腔科学会雜誌 60(4), 325-329, 2011-09-10

    特定非営利活動法人 日本口腔科学会

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各種コード

  • NII論文ID(NAID)
    10030271163
  • NII書誌ID(NCID)
    AN00189050
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00290297
  • NDL 記事登録ID
    11282076
  • NDL 雑誌分類
    ZS43(科学技術--医学--耳鼻咽喉科学) // ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-215
  • DOI
    10.11277/stomatology.60.325
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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