Home

Gillies approach zygomatic

Zygomatic Arch Reduction (Gillies Approach) SpringerLin

couldn't upload the suturing of gillies temporal incision in this video,so I hv uploaded suturing of scalp after gillies incision in another patientClick in. Discussion. Treatment approach for zygomatic arch fractures depends on the severity of fracture. The conventional techniques used are Gillies temporal approach and transoral Keen's approach which have been found inconsistent in ensuring post-reduction stabilisation, which has resulted in several modifications such as use of endotracheal tube, use of Foley's catheter and use of extraoral.

Midface - Approach - Zygomatic arch (indirect) - AO

Conclusion: Closed reduction of zygomatic arch fractures by Gillies temporal approach is an effective treatment modality requiring less intraoperative time and having minimal postoperative. In eight cases, the Gillies approach was found not to be sufficient, with stability gained using a wire at the frontozygomatic (seven cases) or infraorbital rim (one case, an automobile accident). Two cases required a second operation. One involved the zygomatic arch and was successfully re-treated using the Gillies method The Gillies approach, first described in 1927, was initially intended for reduction of zygomatic fractures (Hoyt, 1979, Ogden, 1991). A surgical plane is developed between the deep temporal fascia and the temporalis muscle, with entry through a small temporal incision

Gillies approach. A 3-cm incision placed 4 cm superior to the zygomatic arch and posterior to the temporal hairline can be fashioned to allow direct access to the arch. This approach (ie, Gillies approach) allows accurate fracture reduction by means of a bimanual technique Our modified Gillies approach to zygomatic arch fractures in the setting of a bicoronal incision can be applied to a wide range of cases because of the frequency with which arch fractures occur. Reduction through the temporal (Gillies) approach Through the temporal (Gillies) incision a tunnel is created to pass an instrument superficial to the temporalis muscle and deep to the zygomatic arch. An instrument is then used to elevate the zygomatic arch into its proper position Open treatment of depressed malar fracture, including zygomatic arch and malar tripod. Lay Description (Code): The physician reduces a fracture of the malar complex. No internal fixation is used. The physician makes facial incisions through the scalp, eyebrow, and/or lower eyelid. A transoral incision is also made through the maxillary buccal. Temporal (Gillies) approach - Wound closure The wound is closed in layers. 15. Trans-oral (Keen) approach - lateral maxillary vestibular incision provides the most direct access to the zygomatic arch. allows for an intraoral incision, and therefore does not have the risk of scar alopecia that will result from a temporal (Gillies) approach

Gillies, H. D., Kilner, T. P. And Stone, D (1927) : Fractures Of The Malar-Zygomatic Compound With A Description Of A New X-Ray Position. British Journal Of Surgery,14: P.651. S Balasubramaniam In 1954: Intra Oral Approach For Zygoma Fracture- International Journal Of Oral And Maxillofacial Surgery 6: 45 -53 In Gillies temporal fascia for reduction of zygomatic arch fracture, elevator is placed between temporal fascia and Temporalis muscle. The temporal fascia is attached to the zygomatic arch and the temporal muscle passes downward medial to the fascia to b Abstract Zygomatic arch fractures are common injuries, occurring in isolation in 5% of all patients with facial fractures and in 10% of patients with any fracture to the zygomaticomaxillary complex. Isolated noncomminuted depressed zygomatic arch fractures are easily treated with the minimally invasive Gillies approach, which most often provides long-term stability

Of the 13 patients in our cohort with isolated zygomatic arch fractures, all were treated with indirect reduction using Gillies lift or Keen's approach. This was similar to a study in which 26 isolated zygomatic arch fractures were all managed with indirect reduction . Of the thirty-nine ZMC fractures in our cohort, all were treated with ORIF approach is not generally used for zygomatic arch fractures.14 Extraoral approaches such as the Gillies-Kilner temporal ap-proach, 1 the Al-Kayat-Brameley approach,24 and the Dautrey ap-proach 25 are still used for reduction. However, the distance to the fracture is also long in reduction via such extraoral approaches In all, 44 operatively managed patients underwent open reduction with or without eternal fixation (Gillies Approach vs Keen Approach). There were no significant differences in the presence of zygomatic deformity, paresthesia, and trismus between the 2 operative techniques Gillie's approach is used for depressed zygomatic fractures. The prognosis of tripod fractures is generally good. In some cases there may be persistent post-surgical facial asymmetry, which can require further treatment The Gillies Zygoma Elevator offers a wide range of surgical advantages. Its principal use is to allow the Gillies approach for zygomatic arch fracture during midface reconstructive procedures. For this purpose, the instrument features an angled, spatula-shaped tip with an ideal design to traverse the temporalis fascia

Temporal (Gillies) Approach to a Zygomatic Arch Fracture

  1. Gillies approach to reduction of a zygomatic arch fracture. Anatomic depiction of the masseter muscle as it relates to the zygomaticomaxillary complex and mandible. of 2. Tables. Back to List. Contributor Information and Disclosures . Author Adam J Cohen, MD.
  2. Gillies approach to zygomatic complex is a wonderful, amazingly simple technique to reduce fracture of zygomatic bone or zygomatic arch. Browse more than 12,000 surgery videos and save your favorites for free
  3. imize zygomatic complex fractures due to road traffic accidents
  4. A total of 67 patients were enrolled in this study. 32 patients had undergone by the Gillies approach without external fixation from January 2000 to December 2003. Since 2004, all cases (35 patients) of isolated zygomatic arch fractures were performed by the novel technique: the Gillies approach with aqua splint suture fixation

Alternatives to the coronal approach to zygomatic arch repair include the Gillies approach, which is a temporal approach for reduction only of zygomatic arch fractures . In this study, the Gillies approach was used for the majority (85%) of the 13 isolated zygomatic arch fractures in this trauma center Temporal (Gillies Most displacements Excellent approach incision) Cosmetic unless alopecia Elevation point remote from fixation point For complex zygomatic fractures, the coronal approach allows for extensive degloving of the facial bones. Here the fractured zygoma is part of a wider fractur

1 INTRODUCTION. There are several techniques for reducing an isolated zygomatic arch fracture, such as the Gillies temporal approach technique, 1 hook elevation technique, 2 the upper buccal sulcus technique, 3 the intranasal transantral approach technique, 4 through the sigmoid notch technique, 5 and the modified lateral coronoid technique. 6 There are also many devices for reducing an. m a database, and a retrospective case note review was conducted. A total of 67 conjunctival and secondary incisions were made on 46 patients for repair of zygomatic fractures. All operative procedures were performed using a combination of transconjunctival and intraoral upper vestibular approaches to repair zygomatic fractures. Results: The infraorbital rim and/or lateral buttress and/or. The 2 most common approaches are the Gillies temporal approach and the Keen intraoral approach. After achieving successful reduction, the zygomatic arch fracture may need fixation. 1 Surprisingly, clinical outcomes based on these different techniques have not been well studied. 1 Additionally, there is an insufficiency in data on external.

Indirect approaches to the zygomatic arch (temporal and

In 1909, Keen categorized zygomatic fractures as those of the arch, the body, or the sutural disjunction. He was the first to describe an intraoral approach to the zygomatic arch in which an incision is made in the gingivobuccal sulcus. In 1927, Gillies described an original approach to reduce a depressed malar bone temporal approach for reduction only of zygomatic arch fractures[2]. In this study, the Gillies approach was used for the majority (85%) of the 13 isolated zygomatic arch fractures in this trauma center. However, based on our experience the Gillies approach produces less than ideal results in ZMC fractures an Several ways of minimally invasive treatment of a depressed fracture of a zygomatic arch have been well described in the literature. Most of them are based on either a direct percutaneous approach with a malar hook, a temporal approach according to Gillies, or transorally according to Keen. For these methods, general anesthesia is often preferred temporal bone, suggesting a fracture of the arch (Fig. 2C). With the patient under general anesthesia, Gillies' temporal approach was used for reduction. Follow¬ ing successful reduction, the fracture sign observed in both Waters' and Caldwell's projections of this patient disappeared. Flatness of the face and trismus also disappeared. Case 3.—A 29-year-old male was hit on the right side of. zygomatic arch fracture and malunited left subcon-dylar fracture of the mandible. The surgical plan for fracture exposure, osteotomy, anatomical reduction and rigid fixation was planned. However, tradition - ally, one needs a preauricular approach to treat the zygomatic arch and retromandibular approach for condyle

The Gillies procedure in the treatment of zygomatic

gillies temporal approach to reduce zygomatic fracture

The zygomatic arch fracture is one of the most common facial bone fractures. Especially the isolated zygomatic arch fracture is usually repaired via Gillies' approach. But in the case of unstable zygomatic arch fracture, we need an additional step for stabilising the unstable zygomatic arch segment after repositioning the fractured segment The treatment for this is different than full fractures of the zygoma. A small incision is made behind the hairline, and an instrument is inserted to simply elevate the displaced fragment. A temporal (Gillies) approach for reduction of fractures of the zygoma and zygomatic arch. (Illus. from Surgery of Facial Bone Fractures by John E. Sherman MD

2012: Modified Gillies approach for zygomatic arch fracture reduction in the setting of bicoronal exposure Transoral (Keen), i.e. lateral maxillary vestibular incision 1999: Upper buccal sulcus approach to management of fractures of the zygomatic complex: a retrospective study of 50 case The Gillies temporal approach and Keen maxillary vestibular approach offer simple ways to access the zygoma and zygomatic arch. The Gillies approach uses a temporal incision approximately 2.5 cm superior and anterior to the helix of the ear. The incision should fall posterior to the hairline to avoid a noticeable scar In this experiment, the. There were no signs of acute intracraneal pathology. The patient was operated under general anesthesia 6 hours after admission, and a closed reduction of the zygomatic arch fracture was carried out using a Gillies approach. The oral opening in the immediate postoperative period was 40 mm. The patient was discharged 24 hours after surgery

External radiopaque marking of Gillies posterior zygomatic

CPT is a list of descriptive terms and identifying numeric codes for medical services and procedures that are provided by physicians and health care professionals. American Medical Association, Intellectual.PropertyServices@ama-assn.org. CPT can no longer be served by BioPortal due to licensing constraints ICD-10-CM Code for Zygomatic fracture, left side, initial encounter for closed fracture S02.40FA ICD-10 code S02.40FA for Zygomatic fracture, left side, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes Dr. Kevin Brenner is a top plastic surgeon providing some of the best results in cosmetic surgery, breast revision surgery and breast augmentation in Beverly Hills & Los Angeles. Additional specialties include mommy makeover, tummy tuck and rhinoplasty

Gillies approach indications temporal (gillies) approach

Fig. 3.1 Maxillary vestibular approach. The body of the zygomatic bone can be easily approached through an intraoral incision without leaving external scars. The dissection ranges superomedially to the infraorbital neurovascular bundle (a), superolaterally to the lateral edge of the infraorbital rim and laterally behind the zygomaticomaxillary buttress (b) Fig. 3.2 Mandibular vestibular approach Zygoma reduction. Many surgical approaches have been introduced for the reduction of zygomatic complex fractures, including the intraoral (Keen), temporal (Gillies), brow incision, and bicoronal approaches 2).Fractures of the zygomatic complex occur because of the rotation of the zygoma associated with the disarticulation of the zygomatic bone at the zygomaticofrontal suture (along the lateral. Posted 1401460090. Reply with quote. #1. The surgeon did open treatment of depressed zygomatic arch fracture using Gillies approach (CPT 21356) but then he used a finger splint externally to stabilize. Would you use CPT 20690, 21356 . CPT/HCPCS Codes The most direct approach in reducing a zygomatic fracture is to insert a Carroll-Girard screw. This is a T-shaped device that has a handle at one end with a sharp screw portion perpendicular to it. This device must be placed into the body of the zygoma, thus requiring an incision directly over the malar prominence

gillies Temporal Approachzygomatic arch depression

Introduction: Zygoma is most prominent portion of face and it is easily injured by trauma. Since 1927 when Sir Gillies announced the importance of malar prominency and introduced the closed reduction by Gillies' approach, numerous methods to treat the zygomatic arch fractures were introduced (1994). Temporal Approach for Reduction of Zygomatic Fractures: Clinical Results and Advantages of the Technique. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery: Vol. 28, No. 1, pp. 49-52 Gillies Approach for Zygomatic Arch and Zygomatico-Maxillary Complex Fractures #ZMC #OMFS #Facialtraum

Zygomatic arch fractureZygoma & complications / /certified fixed orthodontic

Rhytidectomy approach for treatment of zygomatic arch

Zygomatic arch fracture was reduced by the KILLEY technique 2 which consists of a surgical reduction with access via the Gillies approach with the use of the Bristow elevator. External fixation is. and/or approach arch depressed dislocation eg fracture gillies head open procedures surgery treatment zygomatic There are many techniques that have been employed for this operative approach. Temporal fossa approach (Gillies). Upper buccal sulcus approach (Keen). The Cheek approach (percutaneous) The nose (transantral). Temporal fossa approach. This method was introduced by Gillies et al 1927 for elevation of zygomatic arch and the zygomatic complex Meiselman maintained that when the simple Gillies approach is performed, a patient achieves a 100 percent result with no sequella from surgery. Meiselman conceded that there are other ways to treat a fractured zygomatic arch; however any surgery performed after the first 14 days post-injury exposes a patient to greater post-operative morbidity

(PDF) Management of Zygomatic Arch Fractures by Gillies

zygomatic arch, simple fracture, openreduction 21356 Open treatment of depressed zygomatic fracture (e.g., Gillies approach) 21360 ; Open treatment of depressed malar fracture, including zygomatic arch and malar tripod : Current 01/01/202 B: Gillies temporal approach using the plane between the superficial temporal fascia and temporalis muscle to slide a Rowe elevator below the zygomatic arch or body

The Gillies method for fractured zygomas: An analysis of

Orbital floor, inferior orbital rim and fronto-zygomatic area reconstruction; Intraoral and Gillies' approach to the zygomatic bone Dermal fillers and botulinum toxin A infiltration Upper and lower blepharoplasty; Facial skin flaps; Wedge excision, Karapandjic and Abbe flaps; Day 2. Lectures: Surgical approaches for craniofacial traum Zygomatic fracture, zygoma, Gillies temporal approach, open reduction, anterior approach, zygomaticomaxillary buttress, infraorbital rim approach, conjunctival incision, temporary tarsorraphy Abstract; Abstract. Related Books. Cochlear Implants: From Principles to Practice. René H Gifford, George B Wanna, Alejandro C, David S Haynes. Group 2a; Temporal approach (Gillies technique)9 Group 2b; Intraoral approach with or without sinus packing (Keen's technique)10 Operative Management: All patients were operated under general anaesthesia by one of the following approaches: Group 1a and 1b: Open reduction and fixation with miniplate/wire osteosynthesis: Exposure of zygomatic bon Group A: It included patients with zygomatic fractures in whom after reducing the fracture by Gillies temporal approach, indigenously built stainless steel plates were used for fixation. 4 holes 'C' shaped for frontozygomatic suture and 4 holes 'L'shaped for 3 zygomatic fractures. 3.1.2. In present study, 4 patients were included in. As for the zygomatic arch, Gillies temporal approach was the first choice and was performed in 85 cases (94.44%). The hemicoronal approach was performed in 4 cases (4.44%) and others ap-proach in 1 case (1.12%). Plating or mini-plating systems were used for the bone fragment fixation. Resorbable plates and screws was used for fixation of zygomatic

Modified Gillies Approach for Zygomatic Arch Fracture

Many surgical approaches for reduction of zygomatic fractures have been reported, which include Gilles approach, transnasl approach, transoral approach, subcilliary approach, lateral canthal approach, eyebrow approach and transconjunctival approach, etc. The choice of surgical approach and materials for reduction of zygomatic fracture depends on the type of fracture, the surgeon's experience. Describe closed reduction of low-energy zygomatic body fractures with the Gillies approach and identify situations where internal fixation may be unnecessary, identify situations where plating the inferior orbital rim may be avoided, and select fixation points for osteosynthesis of uncomplicated displaced zygomatic fractures

used to fix the maxillary process. Zygomatic arch fracture was reduced by the Gillies approach with the use of the elevator. A temporal incision 2 cm in length, made 2.5 cm superior and anterior helix, within hairline. After incision the subcutaneous and superficial temporal fascia were dissected to the level of the temporalis muscle to reach th Reduction of fracture zygoma achieved through Gillies approach by using Rowe's elevator. Fracture reduction confirmed by bird's eye view examination for malar prominence and symmetry, infraorbital rim and frontozygomatic suture palpation and visualization of zygomaticomaxillary buttress through upper buccal sulcus incision

zygomatic reduction,which comes whenMidface - Approach - Zygoma, Isolated zygomatic archClassification & management of zygomatic complex fractures

Zygomatic arch fracture was reduced by the Gillies approach with the use of the elevator. A temporal incision 2 cm in length, made 2.5 cm superior and anterior helix, within hairline. After incision the subcutaneous and superficial temporal fascia were dissected to the level of the temporalis muscle to reach the underlying temporal surface of. This is a case of severly displaced comminuted left zygomatic complex fracture. It has been fractured into tiny many peices (comminuted)and moved apart from the original position (displaced). Did a gillies temporal approach for reducing the fracture fragments and fixation done using titanium plate The Gillies methods, first described by Gillies et al. (5) in 1927, have been used closed reduction technique for zygomatic arch fractures (6). In this report, an isolated zygomatic arch fracture case has been presented with the diagnostic and therapeutic approaches to zygomatic arch fractures in the light of the literature Intraoral and Gillies' approach to the zygomatic bone Dermal fillers and botulinum toxin A infiltration Upper and lower blepharoplasty Facial skin flaps Wedge excision, Karapandjic and Abbe flap Gillies temporal approach (Howarth's periosteal elevator deep to fascia on zygoma and Rowe's elevator superficial to temporalis muscle on coronoid process with lifting to snap back into place and healing within 10 days) Poswillo hooks upper buccal sulcus elevators approaches including Gillies', Dingman's, Keen's and bicoronal scalp flap are the most common methods for treatment of the zygomatic complex fracture [1]. The most important spot of the zygoma have been implicated to establish mid facial symmetry for evaluation of treatment outcome [5]. In healthy individuals, difference