Outcome of treatment of Zygomatic bone fracture by two point fixation versus three point fixation in Mayo Hospital Lahore.

Mahmood, Hafiz Nasir; Rahim, Ashfaq Ur; Khan, Waseem Ullah

doi:10.5455/jpma.298939

Cited by 5 publications

(10 citation statements)

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“…In addition, the total cost of the plates and screws used was significantly higher with 3-point repair than with 2-point repair. However, several studies have demonstrated that the 3-point rigid fixation of the fractured ZMC provides better stability against masticatory forces and maintains anatomic position with less linear and rotational translation [21,22].…”

Section: Discussionmentioning

confidence: 99%

Three-dimensional analysis of facial asymmetry after zygomaticomaxillary complex fracture reduction: a retrospective analysis of 101 East Asian patients

Cho

Kim

Choi

2021

Arch Craniofac Surg

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Background:The zygomaticomaxillary complex (ZMC) has a protruded, convex shape and plays a vital role in determining the contour by affecting the width of the middle face. This study aimed to evaluate the efficiency of ZMC fracture reduction and explore detailed directions for outcome improvement. Methods: We conducted a retrospective study of patients diagnosed with unilateral ZMC fracture who underwent ZMC reduction surgery at a single hospital between January 2015 and May 2020. The primary outcome variable was facial asymmetry using the difference in the bilateral malar eminence (ME) position measured by computed tomography scan. The 3-dimensional distance (IA, asymmetry index) and the distance in each dimension, Dx (anteroposterior distance), Dy (mediolateral distance), and Dz (superoinferior distance) were compared. Results: A total of 101 patients with ZMC fractures and 54 non-fracture patients were enrolled in the study. The mean age of the study sample was 43.49 years (control sample, 43.35 years), and the male-to-female ratio was 66.3:33.7 (control sample, 64.8:35.2). There were 53 and 48 patients with right and left ZMC fractures, respectively. The IA was not statistically different between the two groups. In terms of position in each dimension, only Dx was significantly different between the two groups. Conclusion:The results show that overall facial asymmetry was recovered after ZMC reduction, but in certain dimension significant difference in ME position has still remained. For further improvement, treatment should be performed to relieve malar depression in the anteroposterior dimension.

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Section: Discussionmentioning

confidence: 99%

Three-dimensional analysis of facial asymmetry after zygomaticomaxillary complex fracture reduction: a retrospective analysis of 101 East Asian patients

Cho

Kim

Choi

2021

Arch Craniofac Surg

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“…30 On the contrary, Dutt et al ( 2018) reported a significant lower vertical dystopia score in the three-point fixation group than in two-point fixation group. 31 Mahmood et al (2019) reported that mean malar height reduced in the two-point and three-point fixation group, however malar height was significantly lower in the three-point fixation group. 29 Outcome measure: stability Data for the stability parameters regarding horizontal and vertical displacement could be extracted from only one study and they found no significance difference between the number of fixation points and postoperative horizontal and vertical displacement.…”

Section: Assessment Of Methodological Qualitymentioning

confidence: 97%

“…31 Mahmood et al (2019) reported that mean malar height reduced in the two-point and three-point fixation group, however malar height was significantly lower in the three-point fixation group. 29 Outcome measure: stability Data for the stability parameters regarding horizontal and vertical displacement could be extracted from only one study and they found no significance difference between the number of fixation points and postoperative horizontal and vertical displacement. 30 2016) all reported that none of their patients showed enophthalmos (table 8).…”

Section: Assessment Of Methodological Qualitymentioning

confidence: 97%

“…Eleven of the 17 included articles reported explicitly that the did not receive any funding or did not have any conflict of interest. 1,19,20,23,25,[27][28][29][30][31][32] Six studies did not mention anything about potential funding or conflict of interest. 21,22,24,26,33,34 Outcome measures of the included RCTs The RCT's included in this systematic review generally did not describe the same outcome variables and differed in follow-up time.…”

Section: Assessment Of Methodological Qualitymentioning

confidence: 99%

“…33 Mean mouth opening was reported by Mahmood et al ( 2019) and a significant improvement in the three-point fixation group was observed compared to the two-point fixation group. 29 2015) reported a rate of 4% in the three-point fixation group. 20,22,32 Degala et al (2021) found that scarring was more likely to occur after three-point fixation than two-point fixation.…”

Section: Outcome Measure: Clinical Outcomementioning

confidence: 98%

See 2 more Smart Citations

Surgical treatment of fractures of the zygomaticomaxillary complex: effect of fixation on repositioning and stability. A systematic review

Raghoebar

Rozema

Lange

et al. 2022

British Journal of Oral and Maxillofacial Surgery

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Maxillary sinus volume and facial asymmetry after unilateral zygomaticomaxillary complex fracture reduction with 2, 3, and 4 fixation points: CBCT-based investigation

Al-shujaa,

Al-awdi,

Al-wesabi

et al. 2024

Journal of Stomatology, Oral and Maxillofacial Surgery

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Outcome of treatment of Zygomatic bone fracture by two point fixation versus three point fixation in Mayo Hospital Lahore.

Cited by 5 publications

References 0 publications

Three-dimensional analysis of facial asymmetry after zygomaticomaxillary complex fracture reduction: a retrospective analysis of 101 East Asian patients

Three-dimensional analysis of facial asymmetry after zygomaticomaxillary complex fracture reduction: a retrospective analysis of 101 East Asian patients

Surgical treatment of fractures of the zygomaticomaxillary complex: effect of fixation on repositioning and stability. A systematic review

Maxillary sinus volume and facial asymmetry after unilateral zygomaticomaxillary complex fracture reduction with 2, 3, and 4 fixation points: CBCT-based investigation

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