{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T23:06:56Z","timestamp":1754262416635,"version":"3.37.3"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,3,20]],"date-time":"2022-03-20T00:00:00Z","timestamp":1647734400000},"content-version":"vor","delay-in-days":443,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T00:00:00Z","timestamp":1610668800000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>\n          Background  In inferomedially rotated zygomatic fractures sticking in the maxillary sinus, it is often difficult to achieve complete reduction only by conventional intraoral reduction. We present a new intraoral reduction technique using a Kirschner wire and its clinical outcome.<\/jats:p><jats:p>\n          Methods  Among 39 inferomedially impacted zygomatic fractures incompletely reduced by a simple intraoral reduction trial with a bone elevator, a Kirschner wire (1.5 mm) was vertically inserted from the zygomatic body to the lateral orbital rim in 17 inferior-dominant rotation fractures and horizontally inserted to the zygomatic arch in nine medial-dominant and 13 bidirectional rotation fractures. A Kirschner wire was held with a wire holder and lifted in the superolateral or anterolateral direction for reduction. Following reduction of the zygomaticomaxillary fracture, internal fixation was performed.<\/jats:p><jats:p>\n          Results  Fractures were completely reduced using only an intraoral approach with Kirschner wire reduction in 33 cases and through an additional lower lid or transconjunctival incision in six cases. There were no surgical complications except in one patient with undercorrection. Postoperative 6-month computed tomography scans showed complete bone union and excellent bone alignment. Four patients experienced difficulty with upper lip elevation; however, these problems spontaneously resolved after manual tissue lump massage and intralesional steroid (Triamcinolone) injection.<\/jats:p><jats:p>\n          Conclusions  We completely reduced infraorbital rim fractures, zygomaticomaxillary buttresses, and zygomaticofrontal suture fractures in 84% of patients through an intraoral approach alone. Intraoral Kirschner wire reduction may be a useful option by which to obtain effective and powerful reduction motion of an inferomedially rotated zygomatic body.<\/jats:p>","DOI":"10.5999\/aps.2020.02173","type":"journal-article","created":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T02:27:00Z","timestamp":1611196020000},"page":"69-74","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Inferomedially impacted zygomatic fracture reduction by reverse vector using an intraoral approach with Kirschner wire"],"prefix":"10.1055","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5073-8666","authenticated-orcid":false,"given":"Jin Woo","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Kyung Hee University Hospital, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1451-1824","authenticated-orcid":false,"given":"Jaeyoung","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Kyung Hee University Hospital, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0003-3649","authenticated-orcid":false,"given":"Jin Sik","family":"Burm","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,20]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1416","DOI":"10.1097\/SCS.0b013e31821cc28d","article-title":"Analysis of zygomatic fractures","volume":"22","author":"K Hwang","year":"2011","journal-title":"J Craniofac Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/j.jcms.2013.06.003","article-title":"3-D analysis of dislocation in zygoma fractures","volume":"42","author":"M Toriumi","year":"2014","journal-title":"J Craniomaxillofac Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"206","DOI":"10.7181\/acfs.2016.17.4.206","article-title":"Surgical methods of zygomaticomaxillary complex fracture","volume":"17","author":"SY Ji","year":"2016","journal-title":"Arch Craniofac Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"168e","DOI":"10.1097\/PRS.0000000000002852","article-title":"Evidence-based medicine: evaluation and treatment of zygoma fractures","volume":"139","author":"CB Birgfeld","year":"2017","journal-title":"Plast Reconstr Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"2386","DOI":"10.1097\/01.PRS.0000061010.42215.23","article-title":"The management of orbitozygomatic fractures","volume":"111","author":"LH Hollier","year":"2003","journal-title":"Plast Reconstr Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1054\/bjom.1999.0010","article-title":"Upper buccal sulcus approach to management of fractures of the zygomatic complex: a retrospective study of 50 cases","volume":"37","author":"DJ Courtney","year":"1999","journal-title":"Br J Oral Maxillofac Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1001\/archotol.1994.01880300036005","article-title":"Transsinus reduction and one-point fixation of malar fractures","volume":"120","author":"M Tarabichi","year":"1994","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"5S","DOI":"10.1097\/01.prs.0000260720.73370.d7","article-title":"Evaluation and treatment of zygomatic fractures","volume":"120(7 Suppl 2)","author":"P Kelley","year":"2007","journal-title":"Plast Reconstr Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/01.prs.0000294655.16607.ea","article-title":"MOC-PSSM CME article: zygomatic fractures","volume":"121(1 Suppl)","author":"BGA Evans","year":"2008","journal-title":"Plast Reconstr Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1097\/SCS.0b013e31824dbeb8","article-title":"Reduction of zygomatic fracture segment with intermaxillary fixation screw","volume":"23","author":"SH Moon","year":"2012","journal-title":"J Craniofac Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1097\/SCS.0b013e3181e62cb2","article-title":"First percutaneous reduction and next external suspension with Steinmann pin and Kirschner wire of isolated zygomatic fractures","volume":"21","author":"BY Park","year":"2010","journal-title":"J Craniofac Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-aps.org\/upload\/pdf\/aps-2020-02173.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-aps.org\/journal\/view.php?doi=10.5999\/aps.2020.02173","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2020.02173.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:13:20Z","timestamp":1730823200000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2020.02173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":11,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,3,20]]},"published-print":{"date-parts":[[2021,1]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2020.02173","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"type":"print","value":"2234-6163"},{"type":"electronic","value":"2234-6171"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"2020-11-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-15","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}