الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Zygomatic defects that follow trauma may lead to severe esthetic and functional
deformities such as ipsilateral facial widening additionally facial flattening. There are many
ways to treat the damage either by ready-made or custom-made appliances and implants.
Therefore, accurate zygomatic anatomic reconstruction is the key to reestablishing favorable
facial normality.
Aim of the study: To evaluate the clinical outcomes of the application of Patient-specific
titanium implants fabricated using computer-assisted technique which is a promising method
for such midface reconstruction to restore the facial projection, symmetry, and orbital volume.
Patients and Methods: We chose 12 patients who had recent zygomatic bone fractures. They
were treated with customized titanium implants. Patients were assessed for ocular
motility, diplopia, infraorbital nerve affection, occlusion, and facial symmetry compared to
preoperative condition after 24 hours, one week, four weeks, and six weeks. Additionally, a
radiographic examination was done right afterwards to check the bone reduction accuracy.
Results: 12 individuals with Zygomatic fractures participated in the study. None of
them displayed postoperative diplopia. In this investigation, at the second follow-up, 6 out of
12 patients reported a subjective aberrant sensation along the compromised infraorbital nerve.
By the end of the follow-up period, all patients had restored their normal sensation.
Conclusion: In the treatment of zygomatic bone fractures, the customized titanium
implants demonstrated promising clinical outcomes, making them an excellent reconstructive
option with exceptional compatibility, surgical precision, and predictability.