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ORIGINAL RESEARCH article

Front. Oral. Health
Sec. Oral and Maxillofacial Surgery
Volume 5 - 2024 | doi: 10.3389/froh.2024.1464012
This article is part of the Research Topic The Digital Transformation of Dental and Maxillofacial Practice Towards Preventive, Personalised, and Precision Medicine View all articles

Three-Dimensional Secondary Reconstruction of Mistreated Zygomatic Fractures Using Patient Specific Surgical Guides and Implants

Provisionally accepted
Dekel Shilo Dekel Shilo 1,2*Andrei Krasovsky Andrei Krasovsky 1Ahmad Hija Ahmad Hija 1Nidal Zeineh Nidal Zeineh 1Amir Bilder Amir Bilder 1Omri Emodi Omri Emodi 1,2Adi Rachmiel Adi Rachmiel 1,2
  • 1 Rambam Health Care Campus, Haifa, Israel
  • 2 Technion Israel Institute of Technology, Haifa, Haifa, Israel

The final, formatted version of the article will be published soon.

    The zygomatic bone has a great impact on the anterior and lateral projection of the midface as well as the proper position of the globe. Primary alignment of zygomatic fractures is very important as secondary reconstruction is far more challenging. Treatment of misaligned zygoma requires refracturing of the bone to allow for repositioning. Due to the great impact of the zygoma on the projection of the midface, a precise 3D realignment is of great importance. Technology nowadays develops rapidly and allows for superior results in many surgical fields. The use of patient specific surgical guides and fixation plates is becoming more abundant. We developed a sequence for using 3D planning and printing both for the refracturing stage, avoiding a coronal approach, and for precise repositioning and fixation of the zygoma in the new position. The method is described as well as a unique advanced 3D analysis, allowing for objectively assessing the results. Pre-op, planned and final positions were compared and showed exceptional accuracy allowing for the elimination of human errors which are common in a 3D sensitive procedure such as refracturing of the zygoma. This method can easily be applied to other secondary reconstruction procedures requiring realignment. As a primary goal, the abstract should render the general significance and conceptual advance of the work clearly accessible to a broad readership. References should not be cited in the abstract. Leave the Abstract empty if your article does not require oneplease see the "Article types" on every Frontiers journal page for full details.

    Keywords: Zygoma, Malar, Refracture, 3D, Patient specific implant, Surgical guide, 3D printing, 3D planning

    Received: 12 Jul 2024; Accepted: 30 Aug 2024.

    Copyright: © 2024 Shilo, Krasovsky, Hija, Zeineh, Bilder, Emodi and Rachmiel. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Dekel Shilo, Rambam Health Care Campus, Haifa, Israel

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.