Lal Babu, Kumar Jitendra, Alagarsamy Ragavi, Rai Anshul J, Burman Samriddhi, Shetty Abhishek Latish
Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh 462020 India.
Department of Dentistry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh India.
J Maxillofac Oral Surg. 2025 Jun;24(3):660-663. doi: 10.1007/s12663-025-02493-5. Epub 2025 Apr 17.
The zygomaticomaxillary complex (ZMC) is essential for midface contour and width. If untreated or delayed, ZMC fractures can lead to deformities that restrict function and impair aesthetics. These deformities result from shifts in bone position and the masseter muscle's downward pull on fractured segments, causing elongation at the frontozygomatic (FZ) region and exacerbated by soft tissue fibrosis.
This technical note presents a novel virtual surgical planning-guided technique for correcting residual ZMC deformities.
Key steps include removal of newly formed distracted bone at the FZ region, partial masseter myotomy, precise repositioning based on virtual surgical planning references, and fixation with high-profile titanium plate.
The technique is easy to learn and designed for settings with limited resources, this approach uses standard hardware, making it universally applicable except in cases of severe comminution.
The technique offers a structured, cost-effective solution for aesthetic and functional restoration. Future studies are encouraged to evaluate its long-term outcomes across various patient demographics.
颧上颌复合体（ZMC）对中面部轮廓和宽度至关重要。如果不进行治疗或延迟治疗，ZMC骨折会导致限制功能和损害美观的畸形。这些畸形是由于骨位置的移位以及咬肌对骨折段的向下牵拉，导致额颧（FZ）区域伸长，并因软组织纤维化而加剧。
本技术说明介绍一种用于矫正残留ZMC畸形的新型虚拟手术规划引导技术。
关键步骤包括去除FZ区域新形成的牵张性骨、部分咬肌切开术、基于虚拟手术规划参考进行精确重新定位，以及用高轮廓钛板固定。
该技术易于学习，专为资源有限的环境设计，此方法使用标准硬件，除严重粉碎性骨折外普遍适用。
该技术为美学和功能恢复提供了一种结构化、具有成本效益的解决方案。鼓励未来的研究评估其在不同患者群体中的长期效果。
