with great interest I have read the article “Transzygomatic Kirshner Wire Fixation for the Treatment of Blowout Fracture.” by K Yasumura et al.
1The authors share their experience in treating blowout fractures with a new technique using a transantral approach for bony repositioning and a stab incision in the cheek for Kirshner wire insertion through the zygomatic body into the maxillary sinus for pinpoint support. However, as the authors indicate, this antral approach is not always sufficient, e.g. if muscle entrapment is present an additional subciliary approach is warranted to release entrapment.
- Yasumura K.
- Mikami T.
- Yabuki Y.
- et al.
MD Kirshner wire fixation for the treatment of blowout fracture.
J Plast Reconstr Aesthet Surg. 2011;
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- MD Kirshner wire fixation for the treatment of blowout fracture.J Plast Reconstr Aesthet Surg. 2011;
Published online: February 24, 2012
Accepted: February 3, 2012
Received: January 30, 2012
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
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- Transzygomatic Kirschner wire fixation for the treatment of blowout fractureJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 65Issue 7
- PreviewTotal orbital floor reconstruction with sheet-shape materials is available for the treatment of extensive and crushed-type blowout fractures. Simple blowout fractures, on the other hand, require only manual reduction without fixation. Although several types of blowout fractures do not require total reconstruction, some fixation is usually necessary.