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General E.N.T.
October 1962

Reduction of Zygomatic Arch Fracture: X-Ray Control at Time of Surgery

Arch Otolaryngol. 1962;76(4):355-357. doi:10.1001/archotol.1962.00740050365012
Abstract

In spite of difficulties1 encountered in reducing fractures of the zygomatic arch, the surgeon must perform a physiologically and cosmetically satisfactory reduction at his first attempt. Otherwise, a second attempt at reduction under another general anesthesia will be necessary with its attendant risks and an additional expense to the patient. In order to avoid this, we employed x-ray control in the operating room immediately after reduction. Although adequate radiographic visualization of the zygomatic arch is said to be difficult because of its anatomical position,2,3 the following technique has proved to be simple and useful. Any portable x-ray machine is adequate for this purpose.

Technique  The patient is placed in a supine position with the shoulders resting on the end of the main part of the regular operating table so that the patient's head can be moved freely with the adjustable head-piece. The headrest is used to immobilize the

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