Treatment of Sagittal Fracture of the Zygomatic Arch Root Assisted by Surgical Navigation Technology

Sagittal fracture at the temporal root of the zygomatic arch often occurs as a part of zygomaticomaxillary fractures. The authors described the application of computer-assisted navigation in the lag screw insertion for the fixation of sagittal fracture at the temporal root of zygomatic arch. Using the presurgical planning of the computer-assisted navigation system, the trajectory of lag screw insertion was designed, and the insertion depth was calculated. In the presurgical planning, the trajectory of screw insertion was placed with an anterior inclination of 10° to 15° (mean: 12.24°), and the screw insertion depth was 9.0 to 12.0 mm (mean: 10.65 mm). In the operation, the screw insertion in the fixation of the sagittal fracture was performed under the guidance of navigation system according to the presurgical planning. The postoperative CT scan showed exact reduction and fixation of the sagittal fracture in all cases. Computer-assisted navigation is a useful tool for the lag screw insertion in the precise fixation of sagittal fracture at the temporal root of the zygomatic arch in complex zygomaticomaxillary fractures. Address correspondence and reprint requests to Zhi Li, MD, PhD, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, 237 Luoyu Road, Wuhan 430079, People's Republic of China; E-mail: zhili@whu.edu.cn Received 12 September, 2017 Accepted 18 October, 2017 This study was supported by the Fundamental Research Fund for the Central Universities of China (2042017kf0206) and the Scientific Research Project of the Health and Family Planning Commission of Hubei Province (WJ2017M047). The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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