A zygomatic fracture is a hairline break in the zygoma, or cheekbone. Complex zygomatic fractures may include the cheekbone and part of the orbit of the eye. If the fracture has caused a piece of the cheekbone to move or become displaced, plastic surgery may be needed to restore the pieces of zygoma bone to its original location. Non-displaced fractures are usually treated with ice and pain medications. Receiving prompt medical care may avoid permanent disfigurement , nerve damage, and vision problems.
A person with a healing zygomatic fracture should avoid some activities. Until the fracture has completely healed it is very important not engage in nose blowing. It could force air into the eye orbit and cause blindness. Sports and any other vigorous activity should be avoided until the doctor has released the person to normal activities.
Fracture of the zygomatic arch is usually treated using blind methods. Because the fracture lines cannot be visualised directly in closed reduction, digital exploration and crepitus noise or conventional radiographic imaging are used clinically as a guide to reposition the fragments. Operative methods that do not allow intraoperative visualisation of the fracture fragments not only result in unsatisfactory reduction, but are also fraught with complications including persistent diplopia, orbital dystopia, malunion, and significant residual deformity. The complications of an inadequately or unreduced zygomatic fracture are very difficult to correct secondarily and are usually avoidable. In the authors’ experience, closed reductions without intraoperative assessment of reduction yield unpredictable results with a significant chance of relapse, which gives rise to an embarrassing situation for both surgeon and patient postoperatively.
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