Surgical Management of Maxillary Fractures: Principles of Reduction, Fixation, And Functional Restoration

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AudienciaPúblico en generales_ES
CoberturaMéxicoes_ES
Fecha de ingreso2026-09-15T00:29:49Z
Fecha de publicación2026-01-01
ResumenMaxillary fractures comprise a heterogeneous group of injuries involving the central and lateral midface, including Le Fort fractures, zygomaticomaxillary complex fractures, dentoalveolar injuries, maxillary sinus wall fractures, and pediatric maxillofacial trauma. Operative treatment is generally indicated when fractures produce displacement, malocclusion, instability, facial projection abnormalities, orbital dysfunction, or significant functional impairment. The primary objectives of surgery are restoration of preinjury occlusion, facial width and projection, orbital relationships, and continuity of the vertical and horizontal maxillary buttresses. Open reduction and internal fixation remains the dominant strategy for displaced and unstable injuries. However, the optimal surgical exposure, number of fixation points, and role of advanced imaging remain dependent on fracture pattern and patient characteristics. Two-point fixation may provide adequate stability in selected zygomaticomaxillary complex fractures, whereas three-point fixation may improve rotational control in unstable patterns, although the quality of comparative evidence remains limited. Minimally invasive, transconjunctival, and intraoral approaches may reduce visible scarring without compromising exposure in appropriately selected injuries. Pediatric fractures require special consideration because of facial growth, mixed dentition, and developing tooth germs. This review summarizes current indications, operative principles, surgical approaches, fixation strategies, complications, antibiotic considerations, and emerging technologies in maxillary fracture management.es_ES
Doihttps://doi.org/10.47191/ijmscrs/v6-i7-02es_ES
URIhttps://riuat.uat.edu.mx/handle/123456789/1774
Idiomaeses_ES
EditorialEverant Journalses_ES
RelaciónInternational Journal of Medical Science and Clinical Research Studieses_ES
URL relacionadohttps://doi.org/10.47191/ijmscrs/v6-i7-02es_ES
DerechosAcceso restringido / Suscripción (Metadatos de producción científica)es_ES
Licenciahttp://purl.org/coar/access_right/c_16eces_ES
FuenteInternational Journal of Medical Science and Clinical Research Studies
TítuloSurgical Management of Maxillary Fractures: Principles of Reduction, Fixation, And Functional Restorationes_ES
TipoArtículoes_ES
ArbitradoHa sido Arbitradoes_ES
AutorVillalón, Javier Guzmán
AutorBarrón, Giovanni Alexis Rodríguez
AutorMartínez, Ana Karina Puerta
AutorVéliz, Francis Mishel de León
AutorJr., Armando Corral
AutorVillalba, David Arturo Ruiz
AutorVillalón, Javier Guzmánes_ES
AutorBarrón, Giovanni Alexis Rodríguezes_ES
AutorMartínez, Ana Karina Puertaes_ES
AutorVéliz, Francis Mishel de Leónes_ES
AutorJr., Armando Corrales_ES
AutorVillalba, David Arturo Ruizes_ES
InstituciónUniversidad Autónoma de Tamaulipas
InstituciónUniversidad Autónoma de Tamaulipases_ES
Número07es_ES
URL relacionadahttps://doi.org/10.47191/ijmscrs/v6-i7-02
Tipo de artículoIndexado
Tipo de artículoIndexadoes_ES
Volumen06es_ES

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