2020
DOI: 10.1177/2732501620975842
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A Novel Classification Method of Zygomaticomaxillary Complex Fractures by Suture Comminution to Better Predict Clinical Outcomes

Abstract: Purpose: To assess a novel technique for classifying zygomaticomaxillary complex (ZMC) fractures by its ability to predict clinical outcomes and reoperations when compared to a well-established classification method. Methods: The investigators conducted a retrospective cohort study over a 7-year period composed of patients with unilateral and bilateral fractures of the ZMC. Fractures were graded according to the Zingg method and a CT-based comminution method. Outcomes were classified into 3 groups: orbital com… Show more

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Cited by 3 publications
(5 citation statements)
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“…Granted, there is typically a latency period between injury and surgery, 15,22 which may allow for application of this method as part of the surgical plan. Nonetheless, previously established ZMC classification schemata 4,8 may be more clinically applicable. In terms of objectivity, our method falls short of being completely objective, as the predefined suture points and zygomatic body selection is a user-selected process.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Granted, there is typically a latency period between injury and surgery, 15,22 which may allow for application of this method as part of the surgical plan. Nonetheless, previously established ZMC classification schemata 4,8 may be more clinically applicable. In terms of objectivity, our method falls short of being completely objective, as the predefined suture points and zygomatic body selection is a user-selected process.…”
Section: Discussionmentioning
confidence: 99%
“…Several schematics have been developed to rapidly categorize ZMC fractures using fracture patterns or imaging to assess their clinical implications. [4][5][6][7][8] Improved image quality and slice thickness secondary to advancements in CT resolution have allowed for complex analyses using 3D renderings. There have only been a few reports that studied the ZMC using three-dimensional analytics.…”
Section: Introductionmentioning
confidence: 99%
“…This complicated articulation makes the Zygomatico-Maxillary complex (ZMC). 4 Various studies on ZMC fractures were carried out to describe incidence and distribution on age, gender, society and aetiology. [5][6][7][8] However, study on the pattern of the zygomatic bone fracture is ill defined.…”
Section: Prevalence and Pattern Of Zygomatic Complex Fracture In A Te...mentioning
confidence: 99%
“…its anterolateral protrusion establishes the malar prominence which has a major role in facial aesthetics. Furthermore, it forms the orbital floor and lateral wall, whereas sustaining the associated facial compartments 1–3 . As a consequence of the forward projection of the ZMC, 4 its fracture is the second most common fracture after nasal bone fracture in head and neck traumatic injuries 4–6 .…”
mentioning
confidence: 99%
“…The aesthetical complications are related to loss of facial symmetry like depressed cheekbones and widened and malformed cheeks. As for the functional flaws, complications include eye displacement, vision loss, nerve injuries, encroachment on adjacent tissues, and muscles 1,7,8 …”
mentioning
confidence: 99%