SIMULTANEOUS CORRECTION OF POST-TRAUMATIC DEFORMITIES OF THE ZYGOMATICOMAXILLARY-ORBITAL COMPLEX

Resume. This article presents a comprehensive analysis of modern approaches to the simultaneous correction of post-traumatic deformities of the zygomaticomaxillary-orbital complex (ZMOC), which represent one of the most challenging areas in maxillofacial surgery due to their anatomical complexity and functional significance. Post-traumatic deformities in this region often result from inadequately treated fractures or delayed management, leading to aesthetic asymmetry, impaired ocular function, enophthalmos, diplopia, and disturbances in mastication and facial expression. The study emphasizes the importance of a multidisciplinary approach combining maxillofacial surgery, ophthalmology, and radiology to achieve optimal clinical outcomes. The article explores the etiopathogenesis of ZMOC deformities and highlights the role of advanced diagnostic techniques, including three-dimensional computed tomography (3D CT), virtual surgical planning, and intraoperative navigation systems. Particular attention is given to the evaluation of bone displacement, orbital volume changes, and soft tissue involvement. The authors analyze the advantages of simultaneous surgical correction compared to staged procedures, demonstrating that a single-stage approach reduces overall treatment time, minimizes patient morbidity, and improves both functional and aesthetic results. Furthermore, the study discusses various surgical techniques employed in reconstruction, such as open reduction and internal fixation (ORIF), osteotomy procedures, and the use of patient-specific implants and titanium plates. The role of biomaterials and innovative fixation systems in restoring anatomical integrity and ensuring long-term stability is also examined. Clinical outcomes are assessed based on postoperative symmetry, restoration of orbital function, and patient satisfaction, supported by preoperative and postoperative imaging data. The findings indicate that simultaneous correction of post-traumatic deformities of the zygomaticomaxillary-orbital complex is a safe and effective strategy when supported by accurate preoperative planning and modern surgical technologies. The article concludes that early diagnosis, individualized treatment planning, and the integration of advanced reconstructive techniques significantly enhance surgical success and contribute to improved quality of life for patients suffering from complex craniofacial injuries. Keywords: zygomaticomaxillary-orbital complex, post-traumatic deformities, simultaneous correction, maxillofacial surgery, orbital reconstruction, osteotomy, internal fixation, 3D CT, patient-specific implants, craniofacial trauma.

Hali tarjima qilinmagan