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Circum-zygomatic suspension wiring using lumbar puncture needle: A technical note.
K R Ashok Kumar1, Supriyo Pal1, Ravi Kumar2
1Department of Oral and MaxilloFacial Surgery, Sri Siddhartha Dental College and Hospital, Tumkur, Karnataka, India.
Summary
A novel technique using lumbar puncture needles for circum-zygomatic suspension wiring in Lefort 1 fractures offers a less traumatic alternative to traditional awls. This method ensures stable fixation and satisfactory bone healing with minimal soft tissue complications.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Orthognathic Surgery
Background:
- Circum-zygomatic suspension wiring is a standard treatment for mid-facial fractures, including Lefort 1 fractures.
- Traditional methods using zygomatic awls can cause significant patient trauma and potential complications.
Observation:
- This case study introduces the use of a 16-gauge lumbar puncture needle for passing suspension wires in Lefort 1 fracture treatment.
- The needle was carefully inserted close to the bone to minimize soft tissue impaction, preventing potential necrosis.
Findings:
- The lumbar puncture needle technique provided inconspicuous suspension wiring, superior to the trauma caused by zygomatic awls.
- Stable fixation of fracture fragments and maintenance of dental occlusion were achieved.
- Post-operative assessment at six weeks revealed satisfactory bone healing, with successful removal of wires and the maxillary arch bar.
Implications:
- This modified technique offers a less invasive and potentially safer approach to suspension wiring for mid-facial fractures.
- It highlights the adaptability of common surgical tools for improved patient outcomes in trauma management.
- Further studies could explore the long-term efficacy and broader application of this method in various facial fracture patterns.
