Clinically Guided Virtual Surgical Planning for Zygomatic Repositioning in Post-Traumatic Residual Deformities: A Technical Note.

Background: The zygomaticomaxillary complex (ZMC) is essential for midface contour and width. If untreated or delayed, ZMC fractures can lead to deformities that restrict function and impair aesthetics. These deformities result from shifts in bone position and the masseter muscle's downward pull on fractured segments, causing elongation at the frontozygomatic (FZ) region and exacerbated by soft tissue fibrosis.

Objective: This technical note presents a novel virtual surgical planning-guided technique for correcting residual ZMC deformities.

Methods: Key steps include removal of newly formed distracted bone at the FZ region, partial masseter myotomy, precise repositioning based on virtual surgical planning references, and fixation with high-profile titanium plate.

Results: The technique is easy to learn and designed for settings with limited resources, this approach uses standard hardware, making it universally applicable except in cases of severe comminution.

Conclusion: The technique offers a structured, cost-effective solution for aesthetic and functional restoration. Future studies are encouraged to evaluate its long-term outcomes across various patient demographics.