Craniomaxillofacial Trauma & Reconstruction · 2025Open Access
Quantitative and Qualitative Symmetry Analysis of Open Reduction and Fixation of Zygomatic Complex Fractures
Frederic Van der Cruyssen, Mathilda Wylde, Anthony Campbell, Ali Reza Pourkarim, Zeeshan Ahmad, Nabeel Bhatti, Simon Holmes
16
ZMC Patients
81%
Within 4 mm post-op
8/10
Holmes Zygoma Scale
p<.001
Heatmap improvement
This study was performed at the OMFS department at the Royal London Hospital Major Trauma Centre, led by Holmes & Bhatti, treating one of the UK's highest-volume facial trauma caseloads. It introduces the Holmes Zygoma Fracture Scale as a validated qualitative outcome tool and demonstrates that high-quality facial symmetry restoration is achievable without navigation or intraoperative imaging using freely available 3D software.
https://doi.org/10.3390/cmtr18020022
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