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

Citation:
Temerek, A. T., S. Ali, and M. F. Shehab, "Computer guided resection and reconstruction of intra-osseous zygomatic hemangioma: Case report and systematic review of literature.", International journal of surgery case reports, vol. 66, pp. 240-256, 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.

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