Overview
Orbitozygomatic fractures involve the zygoma (cheekbone) and the orbit (eye socket) 1. Treatment aims to restore both cosmetic appearance and functional outcomes, which can be suboptimal with current approaches 1.Diagnosis
Treatment guidelines are based on a classification system for zygomatic fractures 1.
Management considerations include concomitant infraorbital rim and orbital floor fractures 1.Management
Treatment approaches vary among surgeons 1.
Emphasis is placed on indications for closed versus open reduction 1.
Consistent methods for three-dimensional alignment and fixation are important 1.
Postoperative assessment includes infraorbital nerve and maxillary sinus dysfunction, malar asymmetry, and orbital complications 1.Key Recommendations
A treatment guideline based on a simple classification of zygomatic fractures should be utilized 1. (Evidence: Expert opinion)
Emphasis should be placed on indications for closed and open reduction 1. (Evidence: Expert opinion)
Consistent methods of three-dimensional alignment and fixation are recommended 1. (Evidence: Expert opinion)References
1 Zingg M, Laedrach K, Chen J, Chowdhury K, Vuillemin T, Sutter F et al.. Classification and treatment of zygomatic fractures: a review of 1,025 cases. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons 1992. link90266-3)