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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

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

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.

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Acknowledgement

We appreciate all the financial support and research support from Prevent Senior, Health plan, São Paulo/SP, Brazil.

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Authors and Affiliations

  1. Prevent Senior, Health plan, São Paulo, SP, Brazil

    Ramiro Murad Saad Neto & Carlos Eduardo Xavier S. Ribeiro da Silva

  2. Faceres - Medical School of São José Do Rio Preto, São José Do Rio Preto, SP, Brazil

    Idiberto José Zotarelli-Filho

  3. Zotarelli-Filho Scientific Work- Scientific Consulting-LTDA, São José Do Rio Preto, SP, Brazil

    Idiberto José Zotarelli-Filho

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  1. Ramiro Murad Saad Neto
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  2. Idiberto José Zotarelli-Filho
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  3. Carlos Eduardo Xavier S. Ribeiro da Silva
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Correspondence to Idiberto José Zotarelli-Filho .

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Neto, R.M.S., Zotarelli-Filho , I.J. & Ribeiro da Silva, C.E.X.S. 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. J. Maxillofac. Oral Surg. 22, 1–8 (2023). https://doi.org/10.1007/s12663-021-01603-3

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