Franke Adrian, Matschke Jan Bernard, Bučkova Michaela, Rahrisch Lea, Lauer Günter, Leonhardt Henry
Department of Oral and Maxillofacial Surgery, University Hospital Carl Gustav Carus Dresden, Technical University Dresden, Fetscherstraße 74, 01307, Dresden, Germany.
Intern Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, University Hospital Carl Gustav Carus Dresden, Technical University Dresden, Fetscherstraße 74, 01307, Dresden, Germany.
Sci Rep. 2025 Feb 18;15(1):5898. doi: 10.1038/s41598-025-90481-7.
Zygomaticomaxillary fractures are among the most common fractures of the facial skeleton. Open reduction and internal fixation require radiographic control. Three-dimensional radiographs provide superior information on actual distances. The study aims to quantify and evaluate intraoperative reduction control by cone-beam computed tomography. The retrospective case-control study evaluates three-dimensional radiographs through linear measurements of defined skeletal landmarks from the median sagittal plane for symmetry. The study group received open reduction and internal fixation for zygomaticomaxillary fractures, and the control group consisted of a population without pathology of the midfacial region. The study group showed the same degree of symmetry as the control group. The mean absolute distance of all landmarks was 1.5 ± 1.3 mm in the study group and 1.0 ± 0.9 mm in the control group. There was a statistically significant likelihood of the right side being further away from the midline than the left. The study showed adequate reduction results of zygomaticomaxillary fractures. Moreover, the same degree of symmetry was ascertained compared to a control group. Intraoperative cone-beam computed tomography serves as a valid tool to check for immediate reduction control during surgery for zygomaticomaxillary fractures.
颧上颌骨骨折是面部骨骼最常见的骨折之一。切开复位内固定需要影像学控制。三维放射照片能提供关于实际距离的更优信息。本研究旨在通过锥形束计算机断层扫描定量和评估术中复位控制情况。这项回顾性病例对照研究通过从正中矢状面测量特定骨骼标志点的线性距离来评估三维放射照片的对称性。研究组接受了颧上颌骨骨折的切开复位内固定治疗，对照组为无面中部病变的人群。研究组显示出与对照组相同程度的对称性。研究组所有标志点的平均绝对距离为1.5±1.3毫米，对照组为1.0±0.9毫米。右侧比左侧离中线更远，具有统计学意义。该研究表明颧上颌骨骨折的复位效果良好。此外，与对照组相比，对称性程度相同。术中锥形束计算机断层扫描是颧上颌骨骨折手术中检查即时复位控制的有效工具。
