FREQUENTLY patients are seen who have recent depressed fractures of the zygomatic (malar) bone. Following reduction, which is relatively easy, it is feared that the fractures may again be displaced by the patient in his sleeping hours.
On several occasions I have found that a plaster skull cap with a curved arm bumper guard (figure) has protected the patient without the discomfort to him of sandbags about his head. The device is made either before or after reduction of the fractures. A stockinet is slipped over the calvaria and sheet wadding or felt strips are then applied and a wire coat hanger is so bent that a curved arm projects over the zygomatic area involved without touching it. Padding is placed over this wire projection, and the entire ensemble is encased in plaster, using plaster bandages. During the day this headgear may be removed, and at night it is applied
LOWENTHAL G. PLASTER SKULL CAP WITH CURVED ARM BUMPER GUARD: Device for the Protection of Depressed Zygomatic (Malar) Bone Fractures Following Reduction. AMA Arch Otolaryngol. 1951;53(4):466–467. doi:10.1001/archotol.1951.03750040115015
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