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Zygomatic fractures are among the most common fract u es to the facial skeleton. However, because no standard and reliable method of evaluation is available to assess postoperative patients, we often rely on photograph s and subjective assessments. A portable mirror stand device (MiRS), which is a new method f r the standardization of photography, was developed in our institution. Used with image a nalysis software, this device provides a new method for evaluating outcomes after the open r duction and internal fixation of zygomatic fractures. The portable mirror stand devi c was set up in our outpatient clinic at the Cleft Craniofacial Center at Cipto Mangunkusumo Hos pital. Photographs of 11 postoperative patients were taken using the device, and they were analyzed both manually and using image analysis software (ImageJ 1.46) for symmetry. The t wo methods were then compared to assess the correlation and agreement of the results. The m easurements taken using the manual method and the software-assisted method did not differ sig nificantly, which indicated the good agreement between the two methods. The results of t he symmetry achieved atour center were similar to other centers in the Asian region ( ∆Zy= 3.4±1.5 mm, ∆Bc= 2.6±1.6 mm, ∆Ch= 2.3±2.4 mm) compared with ( ∆Zy= 3.2±1.7 mm, ∆Bc= 2.6±1.6 mm, ∆Ch= 2.3±2.5 mm). The treatment of zygomatic fracture a tour center achie ved good results. The portable mirror stand device assisted the image analysis software (ImageJ 1.46), which could be beneficial in assessing symmetry in postoperative zygomatic fract u e patients.

Assessing symmetry using the mirror stand device with manual and software-assisted methods in postoperative zygomatic fracture patients