Top

Journal of Maxillofacial and Oral Surgery

Published in:

09-06-2021 | Original article

Meta-analysis of the Major Clinical Results of the Treatment with 1-Point Fixation in Fractures in the Zygomatic-Maxillary Complex: Success Rate and Complications

Authors: Ramiro Murad Saad Neto, Idiberto José Zotarelli-Filho , Carlos Eduardo Xavier S. Ribeiro da Silva

Published in: Journal of Maxillofacial and Oral Surgery | Issue 1/2023

Abstract

Introduction

Fractures of the zygomatic-maxillary complex (ZMC) are common facial fractures. After adequate fracture reduction, it is important to maintain stability and rigid fixation to avoid functional impairment and aesthetic sequelae. In this sense, the fixation of just one point can provide sufficient stability of the ZMC fracture when the ZMC fracture is not crushed.

Objective

To analyze the success rates of fracture stability of the ZMC, incidences of complications, and aesthetic satisfaction after 1-point fixation.

Methods

This study followed the rules of PRISMA, with publications from 2010 to 2020. The chi-square test and the Poisson probability test were performed to the occurrence of complications Low = 1, Moderate = 2, and NO = 0, adopting the α-level less than 0.05 with a statistical difference for 95% CI. The R-sq (R²) value was also analyzed among the complications variables.

Results

The results of these studies showed in a general way that the use of 1-point fixation with open reduction presented good results in the short, medium, and long term, showing fracture stability. Complication rates were low and patients' satisfaction with aesthetics was considerable.

Conclusion

The success rate of the 1-point fixation procedure for the zygomatic-maxillary complex is high, with minimal complications.

PAHO/WHO-Pan American Health Organization/World Health Organization. Available in: https://www.paho.org/bra/index.php?option=com_content&view=article&id=2989:traumas-matam-mais-que-as-tres-grandes-endemias-malaria-tuberculose-e-aids&Itemid=839. Accessed in 29 May 2020

Sharma R, Muralidharan CG, Roy ID, Jain NK, Patrikar S (2016) Radiological evaluation of sphenozygomatic suture fixation for restoration of orbital volume: a retrospective study. J Craniomaxillofac Surg 44(12):1903–1908. https://doi.org/10.1016/j.jcms.2016.10.007 (Epub 2016 Oct 20)CrossRef

Abbas A, Syed IB, Abbas H, Abbas I (2012) Paradigm in aetiology and management of zygomatic complex fractures in Pakistan. J Ayub Med Coll Abbottabad 24(3–4):193–196

Olate S, Lima SM Jr, Sawazaki R, Moreira RW, de Moraes M (2010) Surgical approaches and fixation patterns in zygomatic complex fractures. J Craniofac Surg 21(4):1213–1217. https://doi.org/10.1097/SCS.0b013e3181e1b2b7CrossRef

Balakrishnan K, Ebenezer V, Dakir A, Kumar S, Prakash D (2015) Management of tripod fractures (zygomaticomaxillary complex) 1 point and 2 point fixations: a 5-year review. J Pharm Bioallied Sci 7(Suppl 1):S242–S247. https://doi.org/10.4103/0975-7406.155937CrossRef

Shokri T, Sokoya M, Cohn JE, Bahrami A, Inman J, Ducic Y (2020) Single-point fixation for noncomminuted zygomaticomaxillary complex fractures-A 20-year experience. J Oral Maxillofac Surg 78(5):778–781. https://doi.org/10.1016/j.joms.2019.12.030CrossRef

Jazayeri HE, Khavanin N, Yu JW, Lopez J, Shamliyan T, Peacock ZS, Dorafshar AH (2019) Fixation points in the treatment of traumatic zygomaticomaxillary complex fractures: a systematic review and meta-analysis. J Oral Maxillofac Surg 77(10):2064–2073. https://doi.org/10.1016/j.joms.2019.04.025CrossRef

Panchanathan S, Saranathan M, Kamalakaran AK, Duraisamy K (2016) Functional evaluation of the behavior of masticatory muscles in zygomaticomaxillary complex fracture: a prospective study. J Contemp Dent Pract 17(6):463–469CrossRef

Kim ST, Go DH, Jung JH, Cha HE, Woo JH, Kang IG (2011) Comparison of 1-point fixation with 2-point fixation in treating tripod fractures of the zygoma. J Oral Maxillofac Surg 69(11):2848–2852. https://doi.org/10.1016/j.joms.2011.02.073 (Epub 2011 Jun 12)CrossRef

10.

Hwang K (2010) One-point fixation of tripod fractures of zygoma through a lateral brow incision. J Craniofac Surg 21(4):1042–1044. https://doi.org/10.1097/SCS.0b013e3181e48607CrossRef

11.

Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097CrossRef

12.

Higgins J, Green S (2011) Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0 [updated March 2011]. The Cochrane Collaboration

13.

Ji SY, Kim SS, Kim MH, Yang WS (2016) Surgical methods of zygomaticomaxillary complex fracture. Arch Craniofac Surg 17(4):206–210. https://doi.org/10.7181/acfs.2016.17.4.206 (Epub 2016 Dec 23)CrossRef

14.

Kim SY, Nam SM, Park ES, Kim YB (2019) Evaluation of one-point fixation for zygomaticomaxillary complex fractures using a three-dimensional photogrammetric analysis. J Otolaryngol Head Neck Surg 48(1):36. https://doi.org/10.1186/s40463-019-0359-2CrossRef

15.

Sato A, Imai Y, Muraki K, Tachi M (2019) Reliability of ultrasound-guided one-point fixation for zygomaticomaxillary complex fractures. J Craniofac Surg 30(1):218–222. https://doi.org/10.1097/SCS.0000000000005133CrossRef

16.

Tripathi N, Goyal M, Mishra B, Dhasmana S (2013) Zygomatic complex fracture: a comparative evaluation of stability using titanium and bio-resorbable plates as one point fixation. Natl J Maxillofac Surg 4(2):181–187. https://doi.org/10.4103/0975-5950.127648CrossRef

17.

Ribeiro Ribeiro AL, Rodrigues TM, Alves-Junior Sde M, Pinheiro JJ (2015) Interfragmentary screw fixation of the zygomatic arch in complex midface and zygomaticomaxillary fractures. J Oral Maxillofac Surg 73(3):494–498. https://doi.org/10.1016/j.joms.2014.09.028 (Epub 2014 Oct 17)CrossRef

Title: Meta-analysis of the Major Clinical Results of the Treatment with 1-Point Fixation in Fractures in the Zygomatic-Maxillary Complex: Success Rate and Complications
Authors: Ramiro Murad Saad Neto
Idiberto José Zotarelli-Filho
Carlos Eduardo Xavier S. Ribeiro da Silva
Publication date: 09-06-2021
Publisher: Springer India
Published in: Journal of Maxillofacial and Oral Surgery / Issue 1/2023
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-021-01603-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Meta-analysis of the Major Clinical Results of the Treatment with 1-Point Fixation in Fractures in the Zygomatic-Maxillary Complex: Success Rate and Complications

Abstract

Introduction

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Objective

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2023

A Rare Case of Ewing’s Sarcoma of Maxilla Managed with a Newly Proposed Multimodality Approach to Achieve Optimal Outcome

Prevalence and Patterns of Nodal Metastasis Among Oral Cavity Cancer Patients: A Prospective Observational Study

Spindle Cell Hemangioma of Lower Lip: The Fourth Case Report with Review of Literature

Changing Trends in the Pattern of Maxillofacial Injuries in Helmeted Motorcycle Accident Patients when Compared to Non-helmeted Motorcycle Accident Patients

Conservative Algorithm for the Treatment of Locally Aggressive Tumors: A Retrospective Study

Efficacy of Arthrocentesis and Stabilization Splints in Treatment of Temporomandibular Joint Disc Displacement Disorder Without Reduction: A Systematic Review and Meta-analysis