Orbitozygomatic fracture management

Plast Reconstr Surg. 2008 Apr;121(4):1370-1374. doi: 10.1097/01.prs.0000308390.64117.95.


Orbitozygomatic fractures are frequently encountered in plastic surgery. Management depends on a thorough preoperative physical examination, with attention to the ophthalmologic assessment. Coronal and axial computed tomography is essential for identifying fracture extent and orbital involvement. Adequate exposure and mobilization of fracture segments is essential for successful anatomical reduction. Failure to perform effective fixation may lead to subsequent complications, such as enophthalmos and diplopia. The authors illustrate the appropriate management of orbitozygomatic fractures in an effort to reduce complications and attain aesthetically satisfying results.

Publication types

  • Review

MeSH terms

  • Humans
  • Orbital Fractures / pathology
  • Orbital Fractures / surgery*
  • Tomography, X-Ray Computed
  • Zygomatic Fractures / pathology
  • Zygomatic Fractures / surgery*