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Cited by 41Facial Trauma and Fracture ManagementSpinal Fractures and Fixation TechniquesBone fractures and treatments

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

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Raghoebar, Iva I., Rozema, Frederik R., de Lange, Jan, Dubois, Leander·2022·British Journal of Oral and Maxillofacial Surgery
DOI 10.1016/j.bjoms.2021.07.006
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Abstract

Management of zygomaticomaxillary complex (ZMC) fractures can be challenging. Consequently, there is a difference in treatment amongst clinicians. In the literature it remains unclear if the number of fixation points affects the quality of the anatomical reduction, stability through time, and potential complications. Therefore, the objective of this study was to assess the outcome of no fixation, one-point fixation and multiple-point fixation of ZMC fractures. MEDLINE, EMBASE and The Cochrane Central Register of Controlled Trials were searched to identify eligible studies. After screening 925 articles, 17 studies fulfilled the inclusion criteria. Based on this systematic review no clear conclusions can be drawn on how stability, repositioning, and postoperative complications are affected by the number of fixation points. Nevertheless, it can be concluded that the advantage of multiple approaches is direct visualisation, and the downside is potentially approach-related complications. This review suggests that intraoperatively assisted cone-beam computed tomography (CBCT) can help improve the quality of the repositioning and by minimising the number of fixation points, the number of postoperative complications could be further reduced.

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Metadata

Authors
Raghoebar, I. I., Rozema, F. R., de Lange, J., & Dubois, L.
Affiliations
  • Academic Center for Dentistry Amsterdam (NL)
  • Amsterdam University Medical Centers (NL)
  • Amsterdam UMC Location University of Amsterdam (NL)
Corresponding author
Dubois, Leander
ORCID
Venue
British Journal of Oral and Maxillofacial Surgery
Publisher
Elsevier BV
Published
2022-05
Volume
60
Issue
4
Pages
397-411
ISSN
0266-4356 (ISSN-L)
DOI
10.1016/j.bjoms.2021.07.006
OpenAlex
W3196201846
Cited by
41
References
52
Citations by year
2026: 11 · 2025: 16 · 2024: 11 · 2023: 2 · 2022: 1
FWCI
0.76
Type
journal article
Language
en
Open access
Licence
Locations
  • British Journal of Oral and Maxillofacial Surgery (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion, cc-by)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Surgery › Facial Trauma and Fracture Management
  • Health Sciences › Medicine › Surgery › Spinal Fractures and Fixation Techniques
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone fractures and treatments
Keywords
zygomatic fractures, fracture fixation, anatomical reduction, fracture stability, postoperative complications, cone-beam computed tomography, maxillofacial trauma surgery
MeSH terms
Fracture Fixation, Internal, Humans, Maxillary Fractures, Postoperative Complications, Zygomatic Fractures, Cone-Beam Computed Tomography

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CoChat. (2026). Citation check: Surgical treatment of fractures of the zygomaticomaxillary complex: effect of fixation on repositioning and stability. A systematic review. https://app.cochat.ai/papers/10.1016/j.bjoms.2021.07.006
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Raghoebar, I. I., Rozema, F. R., de Lange, J., & Dubois, L. (2022). Surgical treatment of fractures of the zygomaticomaxillary complex: effect of fixation on repositioning and stability. A systematic review. British Journal of Oral and Maxillofacial Surgery. https://doi.org/10.1016/j.bjoms.2021.07.006

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