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Case Reports
. 2020:66:240-256.
doi: 10.1016/j.ijscr.2019.12.015. Epub 2019 Dec 17.

Computer guided resection and reconstruction of intra-osseous zygomatic hemangioma: Case report and systematic review of literature

Ahmed Talaat Temerek  1 , Sherif Ali  2 , Mohamed Farid Shehab  3
Affiliations
Case Reports

Computer guided resection and reconstruction of intra-osseous zygomatic hemangioma: Case report and systematic review of literature

Ahmed Talaat Temerek et al. Int J Surg Case Rep. 2020.

Abstract

Objectives: to systemically integrate the available data on various published treatment strategies for intraosseous hemangioma of the zygoma in an updated comprehensive systematic review, and to present a new case of treated resection and immediate reconstruction using computer guided patient specific composite graft.

Case presentation: A 29 years old female patient with intraosseos zygomatic hemangioma treated using computer guided resection and immediate reconstruction. The resection was performed using a resection template constructed based on preoperative 3D planning. The reconstruction was performed using ramus bone graft and titanium mesh. The patient was followed up for 3 years with no complications.

Methods: An electronic search was performed on 3 data bases; additional hand search of bibliographies of selected articles was performed. Eligibility criteria include human studies presenting intraosseous zygomatico-orbital hemangioma with clearly reported therapeutic strategies.

Results: 53 articles with 73 cases were included. The lesion was highly prevalent in females compared to males (2.28:1). Fifth decade represents the highest prevalence with mean age of 44.1 ± 1.8 years. The main patient concern was swelling and facial deformity. Total tumor resection can assure no recurrence, while partial resection and curettage are associated with high recurrence rate.

Keywords: Computer-assisted surgery; Hemangioma; Reconstructive surgery; Vascular malformations; Zygomatic bone.

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Conflict of interest statement

Declaration of Competing Interest Authors have no conflict of interest.

Figures

Fig. 1
Fig. 1
Clinical photo before surgery.
Fig. 2
Fig. 2
Radiographic picture showing the mass involving the right orbital floor, lateral wall, inferior and lateral rims plus anterior surface of zygomatic body.
Fig. 3
Fig. 3
The surgical resection template.
Fig. 4
Fig. 4
Titanium mesh adapted on the stereolithographic model constructed after virtual mirror imaging the orbito-zygomatic complex part of the normal side.
Fig. 5
Fig. 5
The resection margins marked according to the surgical template.
Fig. 6
Fig. 6
Postoperative CT showing the graft and titanium mesh probably adapted.
Fig. 7
Fig. 7
Ramal bone graft consolidation after removing of the hardware.
Fig. 8
Fig. 8
Clinical photo after surgery.
Fig. 9
Fig. 9
Study selection process.
Fig. 10
Fig. 10
Distribution of intraosseous zygomatic hemangioma according to age.
Fig. 11
Fig. 11
Different histopathological results of reviewed included cases.
See this image and copyright information in PMC

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