Zygomatic Complex Fractures Guidelines

Updated: Dec 03, 2018
  • Author: Stuart Seiff, MD, FACS; Chief Editor: Hampton Roy, Sr, MD  more...
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Guidelines

Guidelines Summary

Stable nondisplaced fractures may be observed weekly for healing. Indications for surgical repair of zygomatic complex fractures include displacement or instability of the fracture, mechanical restriction of mandibular movement (chewing), alteration in facial contour, globe dystopia, enophthalmos, diplopia, or sensory nerve deficit. [18]

While general guidelines for surgical management are lacking and preferred techniques vary by individual surgeon and specialty, a recent survey regarding the management of zygomatic fractures, including by plastic surgeons, oral and maxillofacial surgeons (OMFS), and otorhinolaryngologists (ENT), found that open reduction and rigid internal fixation is the preferred approach. [24]