Design and Use of a Pair of Computer-Designed Surgical Templates in Reduction of a Comminuted Zygomatic Arch Fracture

Lin, Yiguang; Zhou, Hai-Hua; Lv, Kun; Li, Zhi; Li, Zubing

doi:10.1097/scs.0000000000008664

Cited by 2 publications

(3 citation statements)

References 33 publications

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“…This usually happens due to severe trauma, such as a car accident or falling from a high place. Comminuted fractures can affect any bone in the body, but they are more common in long bones such as the femur, tibia, fibula, humerus, radius, and ulna [24]. One of the bones that can be affected by comminuted fractures is the zygomatic arch, which forms part of the cheekbone.…”

Section: Discussionmentioning

confidence: 99%

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A Case Report of Zygomatic Fracture Reconstruction: Evaluation with Orbital Measurements and Models Registration

Yousof

Darwich

et al. 2023

Applied Sciences

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The repair and reconstruction of defects in the craniomaxillofacial region can be particularly challenging due to the complex anatomy, individuality of each defect, and sensitivity of the involved systems. This study aims to enhance the facial appearance and contribute to the reconstruction of the zygomatic arch. This was achieved through virtual planning of the surgery and assessment of clinical matching, including orbital measurements and registration of numerical models. A three-dimensional design of a young female case was generated on a skull model using Mimics® software, and the orbit was isolated using 3-Matic® to assess the reconstructive effect. 3D-printed implants were then surgically placed on the injured region, and Netfabb® software was used to make a virtual registration between the numerical models before and after the intervention. This allowed for the calculation of a deviation of 7 mm, equivalent to 86.23% of the shape restoration rate, to assess the success of the surgery. The computerized method enabled a precise design of the needed plates and analysis of the fixation places, resulting in a satisfactory cosmetic and functional outcome for the patient with minimal complications and good implant stability. Notably, a significant difference was observed in the orbital frontal area after 3 months of surgery (p < 0.001). Within the limitations of the study, these results suggest that virtual planning and customized titanium implants can serve as useful tools in the management of complex zygomatic-orbital injuries.

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Section: Discussionmentioning

confidence: 99%

“…It was found that most patients who suffer from comminuted fractures in this bone suffer from noticeable asymmetry, and about 70% of them have significant asymmetry [25]. This causes the patient's dissatisfaction with the results of the treatment provided [24,25].…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Zygomatic Fracture Reconstruction: Evaluation with Orbital Measurements and Models Registration

Yousof

Darwich

et al. 2023

Applied Sciences

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“…Gillies temporal approach has been widely used to reduce zygoma fractures 6–9 . Traditionally, it is the preferred method to reduce the isolated zygomatic arch fracture.…”

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confidence: 99%

Is Gillies Temporal Incision Necessary to Successfully Reduce Zygomaticomaxillary Fracture Combined With Orbital Wall Fracture?

Park

2024

Journal of Craniofacial Surgery

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Gillies temporal approach has been widely used to reduce zygoma fractures. Traditionally, it is the preferred method to reduce the isolated zygomatic arch fracture. It can be combined with other approaches, such as subciliary and intraoral incisions for more complex zygomatic fractures, so-called tripod fractures. In this study, the author hypothesized that complex zygomaticomaxillary bone fracture reduction can successfully be achieved without Gillies temporal incision. The author retrospectively analyzed the medical records and 3D facial Computed Tomography (CT) scans of 80 patients who had orbitozygomaticomaxillary fractures that affected >3 sites among the frontozygomatic suture, zygomaticomaxillary buttress, zygomatic arch, and orbital walls from May 2021 to August 2023. A single surgeon performed all surgical operations. All fractures were reduced with 2 incisions, lower eyelid incisions (subciliary or subconjunctival) and intraoral incisions (gingivobuccal approach), within a week of the initial traumatic event. After sufficient exposure to fractured sites using 2 incisions, the author reduced the fracture with a bony hook at the inferior orbital rim, lateral wall, or Boise elevator at the intraoral incision. All cases were successfully corrected without any complications. In conclusion, the author can successfully reduce complex zygomaticomaxillary fracture combined with orbital wall fractures without temporal Gillies approach.

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Design and Use of a Pair of Computer-Designed Surgical Templates in Reduction of a Comminuted Zygomatic Arch Fracture

Cited by 2 publications

References 33 publications

A Case Report of Zygomatic Fracture Reconstruction: Evaluation with Orbital Measurements and Models Registration

A Case Report of Zygomatic Fracture Reconstruction: Evaluation with Orbital Measurements and Models Registration

Is Gillies Temporal Incision Necessary to Successfully Reduce Zygomaticomaxillary Fracture Combined With Orbital Wall Fracture?

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