Digital Surgical Templates for Managing High-Energy Zygomaticomaxillary Complex Injuries Associated With Orbital Volume Change: A Quantitative Assessment
| Autor: | Wei Ran, Bing Guo, Da-Long Shu, Xiang-zhen Liu, Xin Liao |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Models Anatomic High energy medicine.medical_specialty Cephalometry Concordance Joint Dislocations Volume change Surgical planning Maxillary Fractures Patient Care Planning Fracture Fixation Internal User-Computer Interface Young Adult Imaging Three-Dimensional Fracture fixation Image Processing Computer-Assisted Quantitative assessment medicine Humans Orbital Fractures Fractures Comminuted Zygomatic Fractures business.industry Organ Size Middle Aged Surgery Treatment Outcome Surgery Computer-Assisted Otorhinolaryngology Computer-Aided Design Female Tomography Anatomic Landmarks Oral Surgery Tomography X-Ray Computed Nuclear medicine business Orbit Follow-Up Studies Facial symmetry |
| Zdroj: | Journal of Oral and Maxillofacial Surgery. 71:1712-1723 |
| ISSN: | 0278-2391 |
| Popis: | This study sought to introduce 3-dimensional (3D) virtual surgical planning and digital rapid-prototyping templates for zygomaticomaxillary complex (ZMC) injuries associated with orbital volume change and to evaluate the surgical outcomes quantitatively.Eight patients who underwent open reduction and fixation for a ZMC injury with orbital volume change were studied. Computed tomographic (CT) scan of the zygomaticomaxillary area was performed before the operation in each case. Scanned data were converted into 3D models using Mimics software (Materialise, Brussels, Belgium) for surgical designs. Virtual surgical reductions and correlated guiding templates were designed using Mimics and Magics software (Materialise). The operations were performed with the help of prefabricated templates to reduce the fractures. A postoperative CT scan of each patient was obtained within 2 weeks after surgery, and quantitative measurements were made to assess the surgical outcomes. Preoperative volumes of the bilateral orbits were compared, and concordance with postoperative volumes of the bilateral orbits was assessed. Twenty-one pairs of distances from 7 marker points to 3 reference planes were measured to assess postoperative facial symmetry.Volumes of the injured orbits were significantly different from volumes of the uninjured orbits preoperatively (P.05), whereas bilateral orbital volumes showed no statistically significant difference postoperatively (P.05). In addition, 19 of the 21 pairs of bilateral distances showed no significant difference postoperatively (P.05).Quantitative assessment showed that digitally designed, rapid-prototyping templates for ZMC fractures have a positive impact on restoring facial symmetry and concordance of bilateral orbital volumes. |
| Databáze: | OpenAIRE |
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