Open reduction and internal fixation of paediatric maxillozygomatic complex fractures: An 11-year multicentric retrospective study

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Autor(es): dc.contributorUniversity of Turin-
Autor(es): dc.contributorParacelsus Medical University-
Autor(es): dc.contributorMashhad University of Medical Sciences-
Autor(es): dc.contributorUniversity Medical Centre-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversity Hospital Dubrava-
Autor(es): dc.contributorMedical University of Plovdiv-
Autor(es): dc.contributorUniversity of Belgrade-
Autor(es): dc.contributorUniversity Hospitals Leuven-
Autor(es): dc.contributorUniversity Clinical Hospital-
Autor(es): dc.contributorAligarh Muslim University-
Autor(es): dc.contributorMuhimbili University of Health and Allied Sciences-
Autor(es): dc.contributorUniversity of Ibadan-
Autor(es): dc.contributorUniversity of Dundee-
Autor(es): dc.creatorRoccia, Fabio-
Autor(es): dc.creatorSobrero, Federica-
Autor(es): dc.creatorStrada, Carlo-
Autor(es): dc.creatorBottini, Gian Battista-
Autor(es): dc.creatorGoetzinger, Maximilian-
Autor(es): dc.creatorSamieirad, Sahand-
Autor(es): dc.creatorVesnaver, Aleš-
Autor(es): dc.creatorBirk, Anže-
Autor(es): dc.creatorde Oliveira Gorla, Luis Fernando-
Autor(es): dc.creatorPereira-Filho, Valfrido Antonio-
Autor(es): dc.creatorDediol, Emil-
Autor(es): dc.creatorKos, Boris-
Autor(es): dc.creatorPechalova, Petia-
Autor(es): dc.creatorSapundzhiev, Angel-
Autor(es): dc.creatorLazíc, Marko-
Autor(es): dc.creatorKonstantinovic, Vitomir S.-
Autor(es): dc.creatorDubron, Kathia-
Autor(es): dc.creatorPolitis, Constantinus-
Autor(es): dc.creatorDemo, Paolo Garzino-
Autor(es): dc.creatorSivrić, Anamaria-
Autor(es): dc.creatorKordić, Mario-
Autor(es): dc.creatorRahman, Sajjad Abdur-
Autor(es): dc.creatorRahman, Tabishur-
Autor(es): dc.creatorSohal, Karpal Singh-
Autor(es): dc.creatorAladelusi, Timothy-
Autor(es): dc.creatorRae, Euan-
Autor(es): dc.creatorLaverick, Sean-
Data de aceite: dc.date.accessioned2025-08-21T19:13:28Z-
Data de disponibilização: dc.date.available2025-08-21T19:13:28Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2024-11-30-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1111/edt.12976-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/308379-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/308379-
Descrição: dc.descriptionBackground/aim: Paediatric maxillozygomatic complex (MZC) fractures are uncommon, and there is a scarcity of data regarding their surgical treatment. The aim of this study was to analyse choices and outcomes of open reduction and internal fixation (ORIF) for MZC fractures among 14 maxillofacial centers around the world. Materials and Methods: This multicentric retrospective observational study included patients ≤16 years of age with quadripod MZC fractures treated with ORIF from January 2011 and December 2022. The following data were collected: age, gender, dentition stage (deciduous, mixed, and permanent), cause of injury, type of fracture, surgical approach, site of osteosynthesis (infraorbital rim, zygomaticomaxillary buttress, frontozygomatic, and zygomaticotemporal sutures), material (titanium or resorbable) and number of plates used, and outcome. The minimum follow-up was 6 months. Statistical analyses were performed with Fisher's exact test or chi-squared test, as appropriate. Results: Sixty-four patients (mean age, 12.3 years) with quadripod MZC fractures were included. Seventy-two percent of patients received a single-point fixation. The zygomaticomaxillary buttress was the most common site for fixation, both in single-point and two-point fixation schemes, especially in combination with the frontozygomatic suture. Increasing age was associated with a higher rate of plate removal (p <.001). Postoperative complications included 5 (7.8%) cases of wound infections, 2 (3.1%) infraorbital paraesthesia, 1 (1.6%) ectropion. Residual facial asymmetry was found in 5 (7.8%) patients and was not associated with the type of fixation (p >.05). Conclusions: This study highlights the possibility of using ORIF, even with a single point of fixation, for the treatment of displaced quadripod MZC fractures in the paediatric population. The zygomaticomaxillary buttress was the preferred site of fixation and allowed for adequate stabilization with no external scars and a low risk of tooth damage. Future prospective studies with long-term follow-up are needed to establish definitive surgical protocols and clarify the surgical decision-making.-
Descrição: dc.descriptionDivision of Maxillofacial Surgery Città della Salute e della Scienza Hospital University of Turin-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery Paracelsus Medical University-
Descrição: dc.descriptionOral and Maxillofacial Diseases Research Center Mashhad University of Medical Sciences-
Descrição: dc.descriptionDepartment of Maxillofacial and Oral Surgery University Medical Centre-
Descrição: dc.descriptionDivision of Oral and Maxillofacial Surgery Department of Diagnosis and Surgery São Paulo State University UNESP-
Descrição: dc.descriptionDepartment of Maxillofacial Surgery University Hospital Dubrava-
Descrição: dc.descriptionDepartment of Oral Surgery Faculty of Dental Medicine Medical University of Plovdiv-
Descrição: dc.descriptionClinic of Maxillofacial Surgery School of Dentistry University of Belgrade-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery University Hospitals Leuven-
Descrição: dc.descriptionClinic for ENT and OMS University Clinical Hospital-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery Aligarh Muslim University-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery Muhimbili University of Health and Allied Sciences-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery College of Medicine University of Ibadan-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery University of Dundee-
Descrição: dc.descriptionDivision of Oral and Maxillofacial Surgery Department of Diagnosis and Surgery São Paulo State University UNESP-
Formato: dc.format680-687-
Idioma: dc.languageen-
Relação: dc.relationDental Traumatology-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectadolescent-
Palavras-chave: dc.subjectchild-
Palavras-chave: dc.subjectfracture fixation-
Palavras-chave: dc.subjectmaxillary fractures-
Palavras-chave: dc.subjectzygomatic fractures-
Título: dc.titleOpen reduction and internal fixation of paediatric maxillozygomatic complex fractures: An 11-year multicentric retrospective study-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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