{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T07:50:01Z","timestamp":1777362601111,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T00:00:00Z","timestamp":1718841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/aim<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This multicentric retrospective observational study included patients \u226416\u2009years 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\u2010up was 6\u2009months. Statistical analyses were performed with Fisher's exact test or chi\u2010squared test, as appropriate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010four patients (mean age, 12.3\u2009years) with quadripod MZC fractures were included. Seventy\u2010two percent of patients received a single\u2010point fixation. The zygomaticomaxillary buttress was the most common site for fixation, both in single\u2010point and two\u2010point fixation schemes, especially in combination with the frontozygomatic suture. Increasing age was associated with a higher rate of plate removal (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). 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 (<jats:italic>p<\/jats:italic>\u2009&gt;\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>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\u2010term follow\u2010up are needed to establish definitive surgical protocols and clarify the surgical decision\u2010making.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12976","type":"journal-article","created":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T11:29:29Z","timestamp":1718882969000},"page":"680-687","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Open reduction and internal fixation of paediatric maxillozygomatic complex fractures: An 11\u2010year multicentric retrospective study"],"prefix":"10.1111","volume":"40","author":[{"given":"Fabio","family":"Roccia","sequence":"first","affiliation":[{"name":"Division of Maxillofacial Surgery, Citt\u00e0 della Salute e della Scienza Hospital University of Turin  Turin 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Oral and Maxillofacial Surgery Paracelsus Medical University  Salzburg Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sahand","family":"Samieirad","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Diseases Research Center Mashhad University of Medical Sciences  Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ale\u0161","family":"Vesnaver","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial and Oral Surgery University Medical Centre  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"An\u017ee","family":"Birk","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial and Oral Surgery University Medical Centre  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Fernando","family":"de Oliveira Gorla","sequence":"additional","affiliation":[{"name":"Division of Oral and Maxillofacial Surgery, Department of Diagnosis and Surgery S\u00e3o Paulo State University, UNESP  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valfrido Antonio","family":"Pereira\u2010Filho","sequence":"additional","affiliation":[{"name":"Division of Oral and Maxillofacial Surgery, Department of Diagnosis and Surgery S\u00e3o Paulo State University, UNESP  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emil","family":"Dediol","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery University Hospital Dubrava  Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7798-7566","authenticated-orcid":false,"given":"Boris","family":"Kos","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery University Hospital Dubrava  Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petia","family":"Pechalova","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, Faculty of Dental Medicine Medical University of Plovdiv  Plovdiv Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angel","family":"Sapundzhiev","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, Faculty of Dental Medicine Medical University of Plovdiv  Plovdiv Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marko","family":"Laz\u00edc","sequence":"additional","affiliation":[{"name":"Clinic of Maxillofacial Surgery, School of Dentistry University of Belgrade  Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vitomir S.","family":"Konstantinovic","sequence":"additional","affiliation":[{"name":"Clinic of Maxillofacial Surgery, School of Dentistry University of Belgrade  Belgrade 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