- Correction of Malunited Fracture of Zygoma Through Limited Incisions.
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young Ha Kim, Sung Ho Kim, Jeung Hyun Sel, Kyung Ho Lee
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Yeungnam Univ J Med. 1996;13(1):22-31. Published online June 30, 1996
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DOI: https://doi.org/10.12701/yujm.1996.13.1.22
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 Abstract
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- It is difficult to get a satisfactoryresult for the correction of malunited fracture of zygoma. Triple osteotomy and reposition of malunited zygoma is accepted as the better surgical method than camouflage surgery by means of onlays, if the orbital floor is to be reconstructed. The surgical approach can be divided into bicoronal, periorbital, intraoral and old scar. In 7 patients with malunited fracture of zygoma, the authors used a limited approach through extension of periorbital incision and intraoral incision instead of wide exposure including bicoronal incision. And we performed triple wteotomy and advancement of zygoma complex. The patients were followed for 4.5 months with acceptable result, and this approach was an effective method for the relatively simple tripod typemalunited fracture of zygoma. The authors obtained following conclusions: 1. Preoperative evaluation through thorough measurement of X-rays, investigation of photographs and detail communication with the patients was an important process.
- The treatment of congenital cutis aplasia.
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Young Ha Kim, Gyu Ho Cha, Jae Ho Jung, Kyung Ho Lee, Jung Hyun Seul
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Yeungnam Univ J Med. 1992;9(2):422-426. Published online December 31, 1992
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DOI: https://doi.org/10.12701/yujm.1992.9.2.422
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Abstract
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- One case of congenital cutis aplasia is presented. The defect involved includes full-thickness skin defect of scalp and cranium. The patient was treated with debridement of dirty necrosed crust which covered exposed dura mater and with double opposing rotation flap including pericranium for bone regeneration. The donor site was covered with skin graft from right thigh. During operation, the superficial temporal artery was found to be short and weak. And after operation, the margin of flap were congested and finally necrotized. The necrotic wound was treated with conservative management. The vascular impairment is thought to be main course of congenital cutis aplasia. So we conclude that the treatment of choice is conservative management or careful flap surgery for coverage of defect area.
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Yeungnam University College of Medicine
