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Published on: January 28, 2020
Digital Workflow Integration in Acute Panfacial Fracture Management
Michael V Joachim1, Michael Miloro2
1Attending Surgeon, Unit of Oral and Maxillofacial Surgery and Department of Plastic Surgery, Shamir (Assaf ha-Rofeh) Medical Center, affiliated to the Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tzrifin, Israel.
Summary
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.
- 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.
