Abstract：
Zygomaticomaxillary complex fractures involve four fracture ends. It is difficult to fully expose the operative area through a main coronal incision, an intraoral incision, and an eyelid incision. To address the partial visual field loss in craniofacial fracture reduction, we attempted to use an augmented reality (AR) navigation system.
Patients with zygomaticomaxillary complex fractures underwent three-dimensional (3D) computed tomography (CT) modeling before surgery, and preoperative plans were designed. The control team used traditional optical navigation to perform the surgery. The experimental team used an AR navigation system. From May 2019 to December 2019, 10 patients with zygomaticomaxillary complex fractures were included in this study. Data were collected after surgery and analyzed.
There was a significant difference between the two groups in the fracture point error (1.35 vs. 1.61, P = 0.02) and fracture reduction time (15.40 vs. 20.40, P = 0.03). However, there was no difference in the operative duration (6.60 vs. 6.65, P = 0.92), blood loss volume (620.00 vs. 580.00, P = 0.83), or incidence of complications.
The AR navigation system used by the research team has good auxiliary effects for reducing zygomaticomaxillary complex fractures. The new surgical method has better accuracy and a shorter reduction time than the traditional surgical method.
Patients with zygomaticomaxillary complex fractures underwent three-dimensional (3D) computed tomography (CT) modeling before surgery, and preoperative plans were designed. The control team used traditional optical navigation to perform the surgery. The experimental team used an AR navigation system. From May 2019 to December 2019, 10 patients with zygomaticomaxillary complex fractures were included in this study. Data were collected after surgery and analyzed.
There was a significant difference between the two groups in the fracture point error (1.35 vs. 1.61, P = 0.02) and fracture reduction time (15.40 vs. 20.40, P = 0.03). However, there was no difference in the operative duration (6.60 vs. 6.65, P = 0.92), blood loss volume (620.00 vs. 580.00, P = 0.83), or incidence of complications.
The AR navigation system used by the research team has good auxiliary effects for reducing zygomaticomaxillary complex fractures. The new surgical method has better accuracy and a shorter reduction time than the traditional surgical method.
摘要：
Zygomatic-腋窝复合体骨折涉及四个骨折端。很难通过主冠状切口完全暴露手术区域，口内切口,和眼睑切口。为了解决颅面骨折复位术中部分视野丧失的问题，我们尝试使用增强现实（AR）导航系统。
合眼腋窝复合体骨折患者术前接受三维（3D）计算机断层扫描（CT）建模，并设计了术前计划。控制团队使用传统的光学导航进行手术。实验团队使用了AR导航系统。从2019年5月至2019年12月，本研究纳入了10例合并腋窝复合体骨折患者。手术后收集数据并进行分析。
两组的骨折点误差有显著差异（1.35vs.1.61，P=0.02）和骨折复位时间（15.40vs.20.40，P=0.03）。然而,手术时间没有差异(6.60vs.6.65,P=0.92),失血量（620.00vs.580.00,P=0.83),或并发症的发生率。
研究小组使用的AR导航系统对减少zygomaticomromary复合体骨折具有良好的辅助作用。新的手术方法比传统的手术方法具有更好的准确性和更短的复位时间。
合眼腋窝复合体骨折患者术前接受三维（3D）计算机断层扫描（CT）建模，并设计了术前计划。控制团队使用传统的光学导航进行手术。实验团队使用了AR导航系统。从2019年5月至2019年12月，本研究纳入了10例合并腋窝复合体骨折患者。手术后收集数据并进行分析。
两组的骨折点误差有显著差异（1.35vs.1.61，P=0.02）和骨折复位时间（15.40vs.20.40，P=0.03）。然而,手术时间没有差异(6.60vs.6.65,P=0.92),失血量（620.00vs.580.00,P=0.83),或并发症的发生率。
研究小组使用的AR导航系统对减少zygomaticomromary复合体骨折具有良好的辅助作用。新的手术方法比传统的手术方法具有更好的准确性和更短的复位时间。
