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Open reduction and internal fixation of paediatric maxillozygomatic complex fractures: An 11-year multicentric retrospective study.
Roccia, Fabio; Sobrero, Federica; Strada, Carlo; Bottini, Gian Battista; Goetzinger, Maximilian; Samieirad, Sahand; Vesnaver, Ales; Birk, Anze; de Oliveira Gorla, Luis Fernando; Pereira-Filho, Valfrido Antonio; Dediol, Emil; Kos, Boris; Pechalova, Petia; Sapundzhiev, Angel; Lazíc, Marko; Konstantinovic, Vitomir S; Dubron, Kathia; Politis, Constantinus; Demo, Paolo Garzino; Sivric, Anamaria; Kordic, Mario; Rahman, Sajjad Abdur; Rahman, Tabishur; Sohal, Karpal Singh; Aladelusi, Timothy; Rae, Euan; Laverick, Sean.
Afiliação
  • Roccia F; Division of Maxillofacial Surgery, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
  • Sobrero F; Division of Maxillofacial Surgery, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
  • Strada C; Division of Maxillofacial Surgery, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
  • Bottini GB; Department of Oral and Maxillofacial Surgery, Paracelsus Medical University, Salzburg, Austria.
  • Goetzinger M; Department of Oral and Maxillofacial Surgery, Paracelsus Medical University, Salzburg, Austria.
  • Samieirad S; Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
  • Vesnaver A; Department of Maxillofacial and Oral Surgery, University Medical Centre, Ljubljana, Slovenia.
  • Birk A; Department of Maxillofacial and Oral Surgery, University Medical Centre, Ljubljana, Slovenia.
  • de Oliveira Gorla LF; Division of Oral and Maxillofacial Surgery, Department of Diagnosis and Surgery, São Paulo State University, UNESP, São Paulo, Brazil.
  • Pereira-Filho VA; Division of Oral and Maxillofacial Surgery, Department of Diagnosis and Surgery, São Paulo State University, UNESP, São Paulo, Brazil.
  • Dediol E; Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia.
  • Kos B; Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia.
  • Pechalova P; Department of Oral Surgery, Faculty of Dental Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
  • Sapundzhiev A; Department of Oral Surgery, Faculty of Dental Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
  • Lazíc M; Clinic of Maxillofacial Surgery, School of Dentistry, University of Belgrade, Belgrade, Serbia.
  • Konstantinovic VS; Clinic of Maxillofacial Surgery, School of Dentistry, University of Belgrade, Belgrade, Serbia.
  • Dubron K; Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.
  • Politis C; Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.
  • Demo PG; Division of Maxillofacial Surgery, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
  • Sivric A; Clinic for ENT and OMS, University Clinical Hospital, Mostar, Bosnia and Herzegovina.
  • Kordic M; Clinic for ENT and OMS, University Clinical Hospital, Mostar, Bosnia and Herzegovina.
  • Rahman SA; Department of Oral and Maxillofacial Surgery, Aligarh Muslim University, Aligarh, India.
  • Rahman T; Department of Oral and Maxillofacial Surgery, Aligarh Muslim University, Aligarh, India.
  • Sohal KS; Department of Oral and Maxillofacial Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
  • Aladelusi T; Department of Oral and Maxillofacial Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
  • Rae E; Department of Oral and Maxillofacial Surgery, University of Dundee, Dundee, UK.
  • Laverick S; Department of Oral and Maxillofacial Surgery, University of Dundee, Dundee, UK.
Dent Traumatol ; 2024 Jun 20.
Article em En | MEDLINE | ID: mdl-38899719
ABSTRACT
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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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article