Zygomatic Fractures Clinical Trial
Official title:
Adequacy of One-Point Fixation of Displaced Zygomatic Complex Fractures Using a Customized Plate pre_post Study
Patients with unilateral non-comminuted zygomatic complex fracture undergo fixation of the complex by a customized plate at one point after 3D virtual simulation and reduction of the complex using Mimics software.
History data will be gathered including personal data, medical and surgical history, and
family history.
Clinical examination and photographic records will be carried out to evaluate the magnitude
and direction of the displaced zygoma, degree of facial asymmetry, neurosensory affection and
functional disturbances.
Computed tomography (CT) scan:
Patients will receive a preoperative computed tomography (CT) scan of the facial bones [
Axial cuts, DICOM file, Gantry tilt zero and minimal thickness of 1 mm]. The radiographic
data will be imported into a surgical simulation software to virtually reduce the fractured
zygoma and custom design the plate for fixation.
General operative procedures:
- All cases will undergo surgery under general anesthesia with nasotracheal intubation.
- Intraoral maxillary vestibular approach will be used to gain access to the fractured
zygomatic complex. Reduction of the fractured segment would be achieved using the
appropriate techniques and instrumentation. One point ORIF would be accomplished using
the customized plate.
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