Abstract
The aim of the study was to determine the efficacy of using digital technologies in patients with post-traumatic deformities of the zygomatico-orbital complex (ZOC) by comparing the results with the conventional methods of surgical treatment.Materials and Methods.The article summarizes treatment results of 231 patients with ZOC injuries who underwent surgery at the clinical facilities of Privolzhsky Research Medical University (Nizhny Novgorod) in 2011–2019. There were treated 44.2% (102/231) of patients with post-traumatic deformities of ZOC, including 38.2% (39/102) with post-traumatic defects and deformities of the orbital floor.Based on clinical and radiological planning of surgical operations, the patients were divided into two groups: group 1 included patients who underwent surgery without preoperative virtual planning (54.9% (56/102) of cases), group 2 included patients who underwent virtually planned surgical interventions (45.1% (46/102) of cases). There were 22 and 17 patients with orbital deformities in groups 1 and 2, respectively.Results.The optimal restoration of ZOC anatomy was observed in 75% (42/56) of patients in group 1 and 93.5% (43/46) of patients in group 2. During reconstruction of the orbital floor in patients of group 1, successful results were achieved in 68.2% (15/22) of cases and 88.2% (15/17) in group 2, various complications were observed in the rest of cases.Based on the analysis of surgical treatment results, there was developed a personalized approach to manufacturing of zygomatic bone and orbital floor implants using computer modeling and 3D printing technologies.Conclusion.In contrast to the conventional methods, the use of digital technologies in the surgical treatment of post-traumatic deformities of ZOC allows avoiding the problematic issues of implant positioning and the development of complications during reconstruction, significantly reducing surgical injury and improving patient rehabilitation.
Highlights
One of the main tasks of the surgeon performing operations in the middle face is to increase treatment efficacy and improve the quality of life in patients after injury
The aim of the study was to determine the efficacy of using digital technologies in patients with posttraumatic deformities of the zygomatico-orbital complex by comparing the results with the conventional methods of surgical treatment
Based on the analysis of surgical treatment results in 231 patients with injuries of the zygomatico-orbital complex (ZOC), we identified a group of patients (n=102) requiring surgical treatment for post-traumatic deformity of ZOC, of which 39 individuals required reconstruction of the orbital floor
Summary
One of the main tasks of the surgeon performing operations in the middle face is to increase treatment efficacy and improve the quality of life in patients after injury. Patients develop persistent post-traumatic deformities of the zygomatic area and the orbit, functional and aesthetic disorders requiring long-term multi-stage treatment [1,2,3]. In the absence of treatment, hypo- and enophthalmos are likely to develop, diplopia, and cosmetic disorders progress [4,5,6]. These changes make it possible to consider ZOC injuries the most complicated in terms of reconstruction and restoration of impaired functions
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
