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.
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.
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.
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.
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Published online: July 08, 2022
Accepted: June 5, 2022
Received: August 12, 2021
© 2022 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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- 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.