RECONSTRUCTION OF THE ZYGOMATIC-ORBITAL COMPLEX GUIDED BY ORBITAL VOLUME: A NEW PARADIGM IN THE TREATMENT OF FACIAL FRACTURES

Fractures of the zygomatic-orbital complex (ZOC) represent a significant challenge in oral and maxillofacial surgery due to the anatomical complexity of the orbit and the need for precise functional and aesthetic restoration. Recent evidence demonstrates that alterations in orbital volume are directly associated with postoperative complications, such as enophthalmos and diplopia, making volumetric restoration a critical factor for therapeutic success. In this context, reconstruction guided by orbital volume, based on three-dimensional virtual planning, volumetric measurement using computed tomography, and the use of customized implants, emerges as a new paradigm in the treatment of these fractures. This review critically analyzes recent literature on ZOC reconstruction techniques guided by orbital volume, highlighting their foundations, measurement methods, clinical applications, and impact on functional and aesthetic outcomes. The analyzed studies demonstrate greater anatomical precision, improved orbital symmetry, and a significant reduction in ocular sequelae when compared with conventional approaches, consolidating this strategy as an evolution in the management of complex facial fractures.