• Fan Feng, Hang Wang, Xiaoguang Guan, Weidong Tian, Wei Jing, Jie Long, Wei Tang, and Lei Liu.
• Department of Oral & Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
• Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Aug 1; 112 (2): 188-94.

ObjectiveThe aim of this study is to discuss the application of mirror imaging and preshaped titanium plates in the treatment of unilateral malar and zygomatic arch fractures.Study DesignFour patients with unilateral malar and zygomatic arch fractures were included in this study. All patients underwent preoperative CT scan. CT data were processed with Surgicase. Two 3D skull models were reconstructed using a rapid prototyping device. The first model was the original model obtained from CT scanning; the other model was obtained by mirroring the unaffected side onto the fractured side. Simulation surgery was performed on the first model. For the second model, titanium plates were shaped in advance and a resinous guide plate was created to guide surgical reduction. When using the resinous guide plates, 4 patients' fractures were reduced and fixed with preshaped titanium plates. The pre- and postoperative displacement of zygomatic markers were analyzed in Surgicase.ResultsAccording to the measurement of fracture displacements, the facial asymmetry of all 4 patients was greatly improved at the 1-month follow-up.ConclusionsMirror imaging and preshaped titanium plates are viable choices for the treatment of unilateral malar and zygomatic arch fractures. Combined use of these techniques can improve facial symmetry.Copyright © 2011 Mosby, Inc. All rights reserved.

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