Use of ultrasonography in reduction of isolated zygomatic arch fracture

Abstract

Background: Isolated zygomatic arch fractures, managed by closed methods, can be inadequate leading to facial asymmetry. Assessment of the reduction and ensuring correct alignment of frac­tured fragments in the operation table always avoids next surgery. This study aims to determine intraoperative, adequacy of reduction of by use of ultrasound in isolated zygomatic arch fracture.

Methods: During the closed reduction of isolated zygomatic arch linear probe of ultrasound was used to check the continuity of the echogenic line. The intraoperative ultrasound finding was com­pared with the gold standard CT scan.

Results: Ultrasound has 100% sensitivity and 80 % specificity. It also has high precision and accu­racy to determine the reduction of the fractured bone.

Conclusions: Ultrasound is a handy tool in the reduction of zygomatic arch fracture. It not only shows but also guides to adequate reduction.