Open reduction and internal fixation of paediatric maxillozygomatic complex fractures: An 11‐year multicentric retrospective study Article Swipe
Fabio Roccia
,
Federica Sobrero
,
Carlo Strada
,
Gian Battista Bottini
,
Maximilian Goetzinger
,
Sahand Samieirad
,
Aleš Vesnaver
,
Anže Birk
,
Luis Fernando de Oliveira Gorla
,
Valfrido Antônio Pereira-Filho
,
Emil Dediol
,
Boris Kos
,
Petia Pechalova
,
Angel Sapundzhiev
,
Marko Lazić
,
Vitomir S. Konstantinović
,
Kathia Dubron
,
Constantinus Politis
,
Paolo Garzino‐Demo
,
Anamaria Sivrić
,
Mario Kordić
,
Sajjad Abdur Rahman
,
Tabishur Rahman
,
Karpal Singh Sohal
,
Timothy Aladelusi
,
Euan Rae
,
Sean Laverick
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/edt.12976
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/edt.12976
Background/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.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/edt.12976
- OA Status
- hybrid
- Cited By
- 6
- References
- 31
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399871847
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4399871847Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/edt.12976Digital Object Identifier
- Title
-
Open reduction and internal fixation of paediatric maxillozygomatic complex fractures: An 11‐year multicentric retrospective studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-06-20Full publication date if available
- Authors
-
Fabio Roccia, Federica Sobrero, Carlo Strada, Gian Battista Bottini, Maximilian Goetzinger, Sahand Samieirad, Aleš Vesnaver, Anže Birk, Luis Fernando de Oliveira Gorla, Valfrido Antônio Pereira-Filho, Emil Dediol, Boris Kos, Petia Pechalova, Angel Sapundzhiev, Marko Lazić, Vitomir S. Konstantinović, Kathia Dubron, Constantinus Politis, Paolo Garzino‐Demo, Anamaria Sivrić, Mario Kordić, Sajjad Abdur Rahman, Tabishur Rahman, Karpal Singh Sohal, Timothy Aladelusi, Euan Rae, Sean LaverickList of authors in order
- Landing page
-
https://doi.org/10.1111/edt.12976Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1111/edt.12976Direct OA link when available
- Concepts
-
Medicine, Internal fixation, Malunion, Surgery, Retrospective cohort study, Zygomatic Fractures, Dentistry, Orthodontics, NonunionTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
6Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 5Per-year citation counts (last 5 years)
- References (count)
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31Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.zygomaticomaxillary | 101, 159, 264 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 91 |
| corresponding_author_ids | https://openalex.org/A5058911338 |
| countries_distinct_count | 14 |
| institutions_distinct_count | 27 |
| corresponding_institution_ids | https://openalex.org/I55143463 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.6499999761581421 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.9522126 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |