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Updated: Jun 19, 2026

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Digital Workflow Integration in Acute Panfacial Fracture Management.

Michael V Joachim1, Michael Miloro2

  • 1Attending Surgeon, Oral and Maxillofacial Surgery Unit, Dental Division, Shamir Medical Center, Be'er Ya'akov, Israel.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|June 17, 2026
PubMed
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Digital workflows, including virtual surgical planning, are feasible for acute panfacial fractures. In-house manufacturing overcomes time barriers, enabling advanced digital integration in complex trauma surgery.

Area of Science:

  • Craniomaxillofacial trauma surgery
  • Digital surgical workflows
  • Acute fracture management

Background:

  • Panfacial fractures present significant surgical challenges.
  • Digital workflows (VSP, 3D printing, navigation) show promise in elective/delayed settings.
  • Integration into acute panfacial fracture care is not well-defined.

Purpose of the Study:

  • Systematically review evidence on digital workflow integration for acute primary panfacial fractures.
  • Characterize outcomes, assess feasibility, and identify research gaps.
  • Evaluate digital tools in complex facial fracture management.

Main Methods:

  • Systematic review of PubMed, Embase, Cochrane, Web of Science (through March 2026).
  • Inclusion of studies on digital workflows in acute panfacial/complex facial fractures.

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  • Exclusion of case reports/technical notes lacking clinical outcomes.

    • Main Results:

    • Five studies (82 subjects) analyzed, using modalities from navigation to integrated VSP with 3D printing.
    • Intraoperative navigation significantly reduced operative time (124.8 min avg. reduction).
    • Integrated VSP/navigation achieved high fracture reduction accuracy (<2mm RMSE); in-house workflows offered rapid planning (<24 hrs) at ~$597/case.

    Conclusions:

    • Digital workflow integration is feasible for acute panfacial fractures across various modalities.
    • In-house, point-of-care manufacturing addresses temporal limitations for acute cases.
    • Supports institutional investment in digital workflow capabilities for trauma centers.