VIRTUAL SURGICAL PLANNING IN ORIF-3 ZYGOMATICO-MAXILLARY COMPLEX FRACTURES: A COMPARISON BETWEEN TWO DIFFERENT STRATEGIES
Authors:
Emanuele Carraturo, Umberto Committeri, Pasquale Piombino
Affiliation:
Maxillofacial Surgery Department, AOU “Federico II”, Naples, Italy
Doi: 10.54936/haoms242p70
ABSTRACT:
Object: Fractures of the zygomatic-maxillary complex account for about 30% of all facial fractures. Multi-fragmentary and deplaced fractures are often a challenge for the Maxillofacial surgeon. The aim of our study is to evaluate the improved performance in the management of patients with tripodic fracture of the orbito-zygomatic-maxillary complex using 2 different methods of Virtual Surgical Planning, virtual reduction and mirroring, compared with the traditional management of fractures of the same nature.
Materials and Methods: A cohort of 60 patients was selected, divided into 3 groups, each consisting of 20 units enrolled at the U.O.C. of Maxillofacial Surgery of the Policlinico Federico II in Naples from 09/05/2022 to 09/01/2023. The first group was represent by patient managed with the Virtua reduction method, the second with the Mirroring method and the third with the traditional surgical method
Results: From our analys it appears that virtual reduction planning method is the most accurate in absolute terms, since the average of the discrepancies in the juxtaposition of the preoperative and postoperative CT images is 0.175±0.147 SD, compared to the mirror method (0,403±0.166 SD) and traditional method (0.875±0.112).
The comparison of the average surgical times in shows that the surgery performed by the experienced operator is on average faster (78,6 min) in both methods as compared to the intermediate operator (97,6 min) and the junior operator (105,56 min). The average surgical times in Virtual Reduction (89,5 min) is faster than Mirroring (94,25 min) and Traditional Technique (96,75 min).
Conclusion: Virtual Surgical Planning, especially Virtual reduction has in fact demonstrated greater effectiveness in terms of accuracy and improvement in the actual post-operative outcome, lower risk of complications and slight reduction in surgical time. It should be emphasised that this last variable is however dependent on the surgeon’s training and experience.
KEY WORDS:
Authors:
Emanuele Carraturo, Umberto Committeri, Pasquale Piombino
Affiliation:
Maxillofacial Surgery Department, AOU “Federico II”, Naples, Italy
Doi: 10.54936/haoms242p70
ABSTRACT:
Object: Fractures of the zygomatic-maxillary complex account for about 30% of all facial fractures. Multi-fragmentary and deplaced fractures are often a challenge for the Maxillofacial surgeon. The aim of our study is to evaluate the improved performance in the management of patients with tripodic fracture of the orbito-zygomatic-maxillary complex using 2 different methods of Virtual Surgical Planning, virtual reduction and mirroring, compared with the traditional management of fractures of the same nature.
Materials and Methods: A cohort of 60 patients was selected, divided into 3 groups, each consisting of 20 units enrolled at the U.O.C. of Maxillofacial Surgery of the Policlinico Federico II in Naples from 09/05/2022 to 09/01/2023. The first group was represent by patient managed with the Virtua reduction method, the second with the Mirroring method and the third with the traditional surgical method
Results: From our analys it appears that virtual reduction planning method is the most accurate in absolute terms, since the average of the discrepancies in the juxtaposition of the preoperative and postoperative CT images is 0.175±0.147 SD, compared to the mirror method (0,403±0.166 SD) and traditional method (0.875±0.112).
The comparison of the average surgical times in shows that the surgery performed by the experienced operator is on average faster (78,6 min) in both methods as compared to the intermediate operator (97,6 min) and the junior operator (105,56 min). The average surgical times in Virtual Reduction (89,5 min) is faster than Mirroring (94,25 min) and Traditional Technique (96,75 min).
Conclusion: Virtual Surgical Planning, especially Virtual reduction has in fact demonstrated greater effectiveness in terms of accuracy and improvement in the actual post-operative outcome, lower risk of complications and slight reduction in surgical time. It should be emphasised that this last variable is however dependent on the surgeon’s training and experience.
KEY WORDS: