The Management of Orbitozygomatic Fractures

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Learning Objectives: After studying this article, the participant should: 1. Understand the radiographic and clinical diagnoses of orbitozygomatic fractures. 2. Know the surgical approaches to the orbitozygomatic fracture and the indications for each. 3. Understand the rationale behind the type of fixation used. 4. Have a basic understanding of the most common complications arising from orbitozygomatic fracture treatment and the methods of managing these complications.Orbitozygomatic injuries are among the most common fractures encountered by the plastic surgeon. Appropriate managment depends on an accurate diagnosis, focusing on the physical examination and data from computed tomography scans. One must pay particular attention to the orbital component of this injury, as it is from this that so much of the morbidity relating to these fractures is incurred. As with all facial fractures, accurate reduction is paramount to a successful outcome. As many buttresses as are necessary should be visualized to ensure an anatomic reduction. The amount and location of fixation depend on the fracture anatomy.Asuccessful outcome may be expected if these basic principles are followed.

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