ABSTRACT
Orbital fractures and orbital floor reconstruction surgery is characterized by limited surgical exposure and high risks. Before the advent of digital technology, the design and implementation of the surgical scheme of orbital floor reconstruction surgery mainly depended on the intuitive understanding of imaging and the clinical experience of the surgeons, with strong unpredictability and experience dependence.Surgical navigation systems with real-time positioning and imaging functions, when used in orbital reconstruction surgery, can detect the real-time intraoperative position, avoid risks, and assist locating the reconstruction position to ensure the accuracy of orbital reconstruction, with the help of a preoperative surgical plan. Many studies have confirmed its effect. Unilateral orbital fractures and orbital floor reconstruction surgery is one of the earliest and most widely used surgical techniques in maxillofacial surgery. Experts from the Oral and Maxillofacial Surgery Committee of the Chinese Stomatological Association have fully discussed and formulated this expert consensus on navigation-guided unilateral orbital fractures and orbital floor reconstruction techniques, to standardize the clinical surgical procedures and promote its application.
ABSTRACT
The zygoma is located in the medial and lateral parts of the face, supporting the midfacial contour. The forward projection of the zygoma and the zygomatic arch expose them to frequent injury. Fractures of the zygoma can lead to displacement of the zygoma and the zygomatic arch, causing facial collapse deformity. For delayed zygomatic fractures, the loss of normal anatomical landmarks, caused by the malunion of the fracture lines and remodeling of the bony contour, makes it difficult to determine the correct positions of the zygomatic bones. In such cases, using traditional surgical methods, ideal and steady outcomes with satisfactory midface symmetry have been difficult to obtain. Nowadays, the application of digital surgical software and surgical navigation help surgeons to perform accurate preoperative simulations to obtain ideal 3-dimensional (3D) virtual surgical plans, and achieve accurate reduction by intraoperative navigation systems, which increase the accuracy and predictability of fracture reduction outcomes. Experts from the Oral and Maxillofacial Surgery Committee of the Chinese Stomatological Association have fully discussed and formulated an expert consensus on navigation-guided unilateral delayed zygomatic fracture reconstruction techniques, to standardize the clinical operation procedures and promote the application.
ABSTRACT
The zygoma is located in the medial and lateral parts of the face, supporting the midfacial contour. The forward projection of the zygoma and the zygomatic arch expose them to frequent injury. Fractures of the zygoma can lead to displacement of the zygoma and the zygomatic arch, causing facial collapse deformity. For delayed zygomatic fractures, the loss of normal anatomical landmarks, caused by the malunion of the fracture lines and remodeling of the bony contour, makes it difficult to determine the correct positions of the zygomatic bones. In such cases, using traditional surgical methods, ideal and steady outcomes with satisfactory midface symmetry have been difficult to obtain. Nowadays, the application of digital surgical software and surgical navigation help surgeons to perform accurate preoperative simulations to obtain ideal 3-dimensional (3D) virtual surgical plans, and achieve accurate reduction by intraoperative navigation systems, which increase the accuracy and predictability of fracture reduction outcomes. Experts from the Oral and Maxillofacial Surgery Committee of the Chinese Stomatological Association have fully discussed and formulated an expert consensus on navigation-guided unilateral delayed zygomatic fracture reconstruction techniques, to standardize the clinical operation procedures and promote the application.
Subject(s)
Humans , Consensus , Facial Bones , Plastic Surgery Procedures , Zygoma , Zygomatic Fractures , General SurgeryABSTRACT
Orbital fractures and orbital floor reconstruction surgery is characterized by limited surgical exposure and high risks. Before the advent of digital technology, the design and implementation of the surgical scheme of orbital floor reconstruction surgery mainly depended on the intuitive understanding of imaging and the clinical experience of the surgeons, with strong unpredictability and experience dependence.Surgical navigation systems with real-time positioning and imaging functions, when used in orbital reconstruction surgery, can detect the real-time intraoperative position, avoid risks, and assist locating the reconstruction position to ensure the accuracy of orbital reconstruction, with the help of a preoperative surgical plan. Many studies have confirmed its effect. Unilateral orbital fractures and orbital floor reconstruction surgery is one of the earliest and most widely used surgical techniques in maxillofacial surgery. Experts from the Oral and Maxillofacial Surgery Committee of the Chinese Stomatological Association have fully discussed and formulated this expert consensus on navigation-guided unilateral orbital fractures and orbital floor reconstruction techniques, to standardize the clinical surgical procedures and promote its application.