Observational studyBMC surgery2025
Orbital floor repair and three-point fixation of zygomaticomaxillary complex fractures to restore orbital morphological features and ocular functions: a retrospective observational cohort study.
Observational study in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
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Abstract
backgroundDespite numerous investigations on how to manage zygomaticomaxillary complex fractures (ZMCFs), the best treatment option remains uncertain. The purpose of this study was to investigate the efficacy of three-point fixation with orbital floor reconstruction in restoring orbital morphology and managing post-traumatic ocular complications associated with ZMCFs, as well as to measure the postoperative reduction in orbital volume (OV).
methodsA retrospective observational cohort study was conducted on patients with unilateral ZMCFs and orbital floor fractures with a completely intact contralateral orbit. The primary variable was the efficacy of three-point fixation of ZMCFs with orbital floor reconstruction in reducing enlarged OV and restoring ocular functions. The manual segmentation method was used to measure the OV of both orbits on CT scans. The measurements were categorized into OV
resultsThe study included 63 patients (mean age: 28.1 ± 2.6 years), with a male predominance of 60.3%. Post-traumatic enophthalmos and diplopia were observed in 49 (77.8%) patients, while restricted EOMs in upward gaze was noted in 33 (52.4%). The treatment protocol significantly reduced the OV
conclusionThree-point fixation of zygomaticomaxillary buttresses with orbital floor reconstruction should be considered the standard of treatment for ZMCFs due to its high success rate in restoring orbital morphology and ocular function.
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