Summary
Background
Zygomaticomaxillary complex fractures involve four fracture ends. It is difficult
to fully expose the operative area through a main coronal incision, an intraoral incision,
and an eyelid incision. To address the partial visual field loss in craniofacial fracture
reduction, we attempted to use an augmented reality (AR) navigation system.
Methods
Patients with zygomaticomaxillary complex fractures underwent three-dimensional (3D)
computed tomography (CT) modeling before surgery, and preoperative plans were designed.
The control team used traditional optical navigation to perform the surgery. The experimental
team used an AR navigation system. From May 2019 to December 2019, 10 patients with
zygomaticomaxillary complex fractures were included in this study. Data were collected
after surgery and analyzed.
Results
There was a significant difference between the two groups in the fracture point error
(1.35 vs. 1.61, P = 0.02) and fracture reduction time (15.40 vs. 20.40, P = 0.03). However, there was no difference in the operative duration (6.60 vs. 6.65,
P = 0.92), blood loss volume (620.00 vs. 580.00, P = 0.83), or incidence of complications.
Conclusions
The AR navigation system used by the research team has good auxiliary effects for
reducing zygomaticomaxillary complex fractures. The new surgical method has better
accuracy and a shorter reduction time than the traditional surgical method.
Keywords
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Article info
Publication history
Published online: July 08, 2022
Accepted:
June 5,
2022
Received:
August 12,
2021
Identification
Copyright
© 2022 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Re: Preliminary reports of augmented-reality assisted craniofacial bone fracture reductionJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 75Issue 11
- PreviewI have read with great interest Lin and colleagues' article on the use of augmented reality (AR) in zygomaticomaxillary complex (ZMC) fractures fixation.1 Augmented Reality (AR) is a rapidly advancing technology that is gaining acceptance and application in a variety of surgical fields. There have been numerous studies evaluating the precision and accuracy of AR-guided navigation. This study contributes to the body of evidence demonstrating the exciting potential of augmented reality in craniomaxillofacial surgery.
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