Management of Zygomaticomaxillary Complex Fractures Utilizing Intraoperative 3-Dimensional Imaging: The ZYGOMAS Protocol

Cuddy, Karl; Dierks, Eric J.; Cheng, Allen; Patel, Ashish; Amundson, Melissa; Bell, R. Bryan

doi:10.1016/j.joms.2020.08.028

Cited by 15 publications

(10 citation statements)

References 21 publications

(28 reference statements)

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“…The finding can be attributed to the fact that MRP reconstructs the fracture position from any angle such as sagittal, coronal, oblique, and curved planes [ 16 ]. In addition to MPR, VR is one of the most eye-catching emerging technologies in recent years [ 17 ]. In this study, the detection rate of VR on maxillofacial fractures was 97.79%, and the rate was the highest in mandibular fractures (100.00%), zygomatic fractures (100.00%), orbital fractures (100.00%), sphenoid fractures (100.00%), and dislocations of the temporomandibular joint (100.00%).…”

Section: Discussionmentioning

confidence: 99%

Application Value of the CT Scan 3D Reconstruction Technique in Maxillofacial Fracture Patients

Kang

Jiang

2022

Evidence-Based Complementary and Alternative Medicine

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Purpose The aim of the study was to explore the application value of computerized tomography (CT) scan 3D reconstruction technology in maxillofacial fracture patients. Methods A total of 80 maxillofacial fracture patients who underwent surgical treatment in Shijiazhuang People's Hospital from January 2019 to January 2020 were enrolled. All of them received 128-slice spiral CT scans before surgery, and the images were subjected to multiplanar reconstruction (MRP) and volume reconstruction (VR). Results A total of 181 fractures were found in 80 patients with maxillofacial fractures. The detection rates of axial CT, MRP, and VR were 77.90% (141/181), 93.92% (170/181), and 97.79% (177/181), respectively. The detection rates of the four inspection methods were statistically different. Taking the findings of surgical anatomy as the gold standard, the sensitivity of MRP and VR for the diagnosis of maxillofacial fractures was 90.06% (163/170) and 95.56% (174/177), with no significant difference. Conclusion CT scan 3D reconstruction technology has a high application value in the clinical diagnosis and treatment of maxillofacial fracture patients.

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Section: Discussionmentioning

confidence: 99%

Application Value of the CT Scan 3D Reconstruction Technique in Maxillofacial Fracture Patients

Kang

Jiang

2022

Evidence-Based Complementary and Alternative Medicine

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“…In addition to helping to make the decision of whether to reconstruct the orbital floor, intraoperative CT can be used to assess the accuracy of the zygoma reduction as well, which may be particularly useful in cases with severe displacement or adjacent fractures. 28 The use of intraoperative CT imaging gives the surgeon the ability to assess unexposed articulations and the status of the orbital floor, which has the potential to reduce the number of incisions required to accurately treat ZMC fractures. 29 In cases where internal orbital reconstruction is performed, intraoperative CT can help the surgeon assess the choice and positioning of the orbital implant and allows for intraoperative adjustments to be made such as repositioning, recontouring or exchanging the implant.…”

Section: Intraoperative Imaging and Navigationmentioning

confidence: 99%

Contemporary Management of Zygomaticomaxillary Complex Fractures

Wang

Dillon

2021

Semin Plast Surg

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Zygomaticomaxillary complex fracture is one of the most commonly treated facial fractures. Accurate reduction and stable fixation of the zygoma are required to restore facial symmetry and projection and avoid functional sequalae from changes in orbital volume. Achieving optimal outcome is challenging due to the complex three-dimensional anatomy and limited visualization of all affected articulations of the zygoma. This article provides an updated overview of the evaluation and management of zygomaticomaxillary complex fractures based on available evidence and clinical experience at our center. The importance of soft tissue management is emphasized, and approaches to internal orbital reconstruction are discussed. While evidence remain limited, intraoperative imaging and navigation may prove to be useful adjuncts in the treatment of zygomaticomaxillary fractures.

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“…In traditional ZMC fracture reduction surgery, surgeons usually conduct the preoperative surgical simulation mentally to determine the correct operational procedure and ensure the success of the operation. As a result, the quality of the surgical plan often depends on the surgeon's own clinical experience, surgical skill, and it is di cult for every member of the surgical group to share that information about the surgical plan [6][7][8][9][10] .…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

The Application of Augmented Reality in Craniofacial Bone Fracture Reduction: Study Protocol For a Randomized Controlled Trial.

Lin¹,

Liu²,

Gao

et al. 2021

Preprint

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Background: Augmented reality (AR) is a new technology that increases users’ perception of the real world. The purpose of this study is to evaluate the efficacy and safety of augmented reality navigation system in treatment with craniofacial fracture reduction.Methods: This will be a single-center prospective randomized controlled trial. Twenty-two patients will be assigned to two groups of 11 and those with zygomaticomaxillary complex fractures will undergo preoperative three-dimensional CT modeling and have operational plans designed. The control team will use traditional optical navigation to perform the surgery and the experimental team will use an AR navigation system. The primary outcome measures will be the accuracy of the key points of surgical area between the preoperational surgical plan and post-operation. The secondary outcome measures will be the blood loss, operation time, bone reduction time, hospital time and complication rate. The findings obtained through this study are expected to evaluate efficacy and safety of the augmented reality navigation system in the treatment of zygomaticomaxillary complex fractures.Discussion: This controlled trial of augmented reality navigation system in treatment with zygomaticomaxillary complex fracture reduction is expected to clarify the efficacy and safety of this technology by measuring the accuracy of the key points of surgical area and blood loss, operation and bone reduction times, hospital stay duration and complication rates. This is a single-center study, and the results are expected to promote the application of augmented reality in craniofacial fracture reduction to improve surgery accuracy and efficacy.Trial registration: Trial registration: Chinese Clinical Trial Registry: No. ChiCTR1900022626. Registered on April 19, 2019.

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Management of Zygomaticomaxillary Complex Fractures Utilizing Intraoperative 3-Dimensional Imaging: The ZYGOMAS Protocol

Cited by 15 publications

References 21 publications

Application Value of the CT Scan 3D Reconstruction Technique in Maxillofacial Fracture Patients

Application Value of the CT Scan 3D Reconstruction Technique in Maxillofacial Fracture Patients

Contemporary Management of Zygomaticomaxillary Complex Fractures

The Application of Augmented Reality in Craniofacial Bone Fracture Reduction: Study Protocol For a Randomized Controlled Trial.

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