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J Pak Dent Assoc. 2021; 30(2): 74-80

One Point Fixation Versus Two Point Fixation in Zygomaticomaxillary Complex Fractures

Muhammad Husnain Akram,Muhammad Mustafa Ch,Armaghan Israr Mirza,Muhammad Usman Akhtar,Ammar Saeed.


Background: The facial skeletal serves a key importance in human body. Zygomaticomaxillary complex (ZMC) is the skeletal unit of middle third of face. Several approaches are used namely lateral eyebrow, sub cilliary, temporal or intraoral incisions for one or two or three point fixation of zygomatic complex fractures.
Objective: To compare the mean satisfaction of patients undergoing one point fixation versus two point fixation for zygomaticomaxillary complex fractures
Material & Methods
Study Design: It was randomized control trial
Setting: Oral & Maxillofacial Surgery Department, Punjab Dental Hospital
Duration: 6months i.e. from 28-08-18 to 28-02-19
Data collection: After meeting the inclusion criteria 74 patients were enrolled. Informed consent and demographic information was taken. Patients were randomly divided into two groups. One group is treated with one point fixation method and other with two point fixation. Patient were evaluated in terms of satisfaction of score on 3rd day, 14th day and 28th day and were recorded as per operational definitions. All the collected data was entered and analyzed on SPSS version 20.
Results: In this study the mean age of patients in one point group was 42.46±15.325 years while in two points group was 49.32±13.145 years, male to female ratio of the patients was 1.2:1. The mean PSS in one point group was 5.98±0.89 while in two points group was 3.775±0.609 (p-value=

Key words: Zygomaticomaxillary Complex Fractures, One Point, Two Point, Satisfaction

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