Video-assisted Frontal Bone Reconstruction: Advances in Minimally Traumatic Maxillofacial Surgery

Abstract

The objective of this article is to address the management and challenges in treating frontal bone fractures, with a focus on advocating minimally traumatic video-assisted techniques to mitigate the risk of complications and scarring. This retrospective case report chronicles the successful management of a 15-year-old male patient who suffered maxillofacial trauma due to a head-to-head collision. Adhering to the CARE guidelines and ethical principles, the patient’s left-sided frontal bone fracture in the supraorbital margin region was expertly addressed. Employing 3D biomodels and virtual surgical planning, the surgical team executed a video-assisted approach positioned just below the eyebrow, thus minimizing the risk of visible scarring. Although the procedure was slightly time-consuming compared to traditional methods, it proceeded without complications. The outcome was remarkable, as the patient displayed a fully restored frontal region with minimal scarring, demonstrating the effectiveness of this approach in achieving both functional and aesthetic restoration. Video-assisted surgery for frontal bone fractures stands as a compelling choice, replete with numerous merits in contrast to alternative approaches. The fusion of virtual surgical planning, 3D printing, and judiciously minimal access has ushered in remarkable advantages for the patient.