Mine-blast traumas of the zygomaticoorbital complex are characterized by significant dislocation of bone fragments, separation of parts of the zygomaticoorbital complex with formation of finely fragmented and coarsely fragmented fractures of the zygomatic bone, zygomatic arch, orbital walls with formation of defects and deformations, dislocation of the orbit’s content in the maxillary sinus or ethmoidal labyrinth, damage to the visual organ. The problem of treatment and diagnosis of victims with mine-blast trauma of the zygomaticoorbital complex, complicated by damage to the orbital walls, is due to the high functional and aesthetic significance of this area, as well as the necessity for an interdisciplinary approach to reconstruction and rehabilitation.
OBJECTIVE
To demonstrate the modern possibilities of express prototyping of the zygomaticoorbital complex in mine-blast trauma in early periods of the traumatic disease.
PATIENTS AND METHODS
Results of clinical, radiological, laboratory and functional methods of investigation of patients admitted with mine-blast injuries of the maxillofacial area in specialized departments of multi-specialty hospital, clinic’s departments of maxillofacial surgery and dental surgery, ophthalmology, otorhinolaryngology were analyzed.
RESULTS
More than 50 patients with mine-blast, fragmentation and gunshot damage of the zygomaticoorbital complex have been operated using express prototyping. The use of standard individualized titanium structures as a frame in early periods of the traumatic disease allows to hold the complex of facial soft tissues without violating the principle of tidal drainage and contributes to the prevention of not only pus-inflammatory, but also post-traumatic deformities of the face.
CONCLUSION
The applied method of express prototyping considering widespread use of 3D-printing and the universal possibility of volumetric stereolithographic models printing allows to perform the most accurate modeling of the applied standard structure before surgical operation and carry out its individualization. The use of this method significantly accelerates the process of creating titanium frame structures, which allows to perform reconstruction in the early periods of the traumatic disease before scarring and soft-tissue atrophy.
