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Updated: Jan 20, 2026
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
636
Neglected orbitozygomaticomaxillary fractures with complications: A case report
Siti Isya Wahdini1, Ishandono Dachlan1, Rosadi Seswandhana1
1Division of Plastic, Aesthetic & Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia.
International Journal of Surgery Case Reports
|August 18, 2019
Summary
Zygomatic complex fractures require prompt, multidisciplinary evaluation and treatment. Delayed reconstruction, even with 3D models, can lead to irreversible complications like vision loss.
Area of Science:
- Maxillofacial Surgery
- Trauma Surgery
- Ophthalmology
Background:
- Zygomatic complex fractures are common facial injuries.
- These fractures often involve orbital walls, leading to ophthalmic and aesthetic complications.
- Reconstruction can be challenging due to associated damage.
Purpose of the Study:
- To present a case of neglected orbitozygomaticomaxillary complex fracture.
- To evaluate the use of 3D reconstruction models in surgical planning.
- To highlight the importance of timely intervention in maxillofacial trauma.
Main Methods:
- Surgical reconstruction including lateral orbitotomy, bone grafting, and cantopexy.
- Guidance using 3D reconstruction models.
- Multidisciplinary pre-operative examinations, including radiological assessments.
Main Results:
- Improved orbital dystopia and facial asymmetry were achieved.
- Vision could not be corrected due to delayed reconstruction.
- 3D models aided accuracy but increased surgical time.
Conclusions:
- Immediate treatment of severe maxillofacial fractures is crucial to prevent complications.
- Multidisciplinary assessment combined with calibrated CT imaging improves diagnostic accuracy and treatment planning.
- Timely surgical intervention is critical for optimal outcomes, especially for vision preservation.
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