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Management of zygomatico maxillary complex fractures among Indian patients



Abhishek Singh Payak1, Preeti Bhadouria2, Alisha Singh3, Gopakumar Nair4*, Rajbir Kaur Randhawa5, Sachin Thakur6 & Ramanpal Singh Makkad7,*



1Department of Dentistry, MGM Medical College, Indore, Madhya Pradesh, India; 2Department of Oral Medicine and Radiology, MPCD & RC, Gwalior, Madhya Pradesh, India; 3Department of Dentistry, SRVRS Medical College, Shivpuri, Madhya Pradesh, India; 4Department of Oral Medicine and Radiology, KD Dental College, Mathura, Uttar Pradesh, India; 5Department of Oral and Maxillofacial Surgery, Ahemdabad Dental College and Hospital, Bhadej, Ahemdabad, Gujarat, India; 6Department of Oral and Maxillofacial Surgery, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India; 7Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh, India; Corresponding author;



Abhishek Singh Payak: E-mail: drabhi.singh20@gmail.com

Preeti Bhadouria: E-mail:drpreetibhadouria@gmail.com

Alisha Singh: E-mail:dralishasingh24@yahoo.com

Gopakumar Nair: E-mail:gopakr_nair@yahoo.com

Rajbir Kaur Randhawa: E-mail:dr.rrandhawa@gmail.com

Sachin Thakur: E-mail:drthakursachin@yahoo.com

Ramanpal Singh Makkad: E-mail:drramanpal@gmail.com 

Vini Mehta - vinip.mehta@gmail.com


Article Type

Research Article



Received January 1, 2023; Revised January 30, 2023; Accepted January 31, 2023, Published January 31, 2023



Zygomatic bone fractures should be effectively diagnosed and treated because they affect how the face is shaped for both aesthetically and functional reasons. It is possible to compare different surgical techniques and their comorbidities objectively through using outcome quantitative assessments, which call for a treatment programme and long-term follow-up. The purpose of this study was to compare the outcomes of two procedures and the effectiveness of the zygomatic bone following open reduction internal fixation (ORIF) employing two-point fixation and ORIF employing three-point fixation. Two groups of twenty patients each were randomly assigned to. Twenty patients in Group A had ORIF treatment using two-point miniplate fixation technique, and twenty patients in Group B received three-point miniplate fixation treatment. Differences between the two categories were ascertained after they had been evaluated in terms of their advantages and disadvantages. We discovered that the two-point fixation group had the fewest facial complications and neurological side effects. At 1 month follow up, Group B's average radiological evaluation score was 2.47 0.30, and then at 6 months follow up, it was found out to be 1.870.47. A significant statistical distinction between the average radiological evaluations was observed in study participants of Group A at follow up done after one month and six months of procedure. Student's paired t- statistical test was utilized from this statistical analysis. (t = 6.54, P < 0.01). On carrying out follow up after one month of surgery, average neurological assessment score  in study participants of group A was found out to be 0.22 0.42, and then at 6 months follow up, it was 0.610.63.  The average neurological evaluation score in study participants of Group A on carrying out follow up after one month of surgical procedure and and after six months of surgical procedure months  showed a significant statistical distinction when utilizing Student's paired t- statistical test (t = 2.51, P = 0.021).It was determined that the best available rehabilitation for the treatment of zygomaticomaxillary complex fractures is open reduction and internal fixation employing two-point fixation by miniplates.



Internal fixation, open reduction, Two-point fixation, Three-point fixation, Zygomatic fracture



Payak et al. Bioinformation 19(1): 120-125 (2023)


Edited by

P Kangueane






Biomedical Informatics



This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.