Management Of Zygoma Fracture With Open Reduction And Internal Fixation

Abstract

Introduction: Zygomatic fractures affect both functional and cosmetic features of the face. The complexity of zygomatic bone anatomical structure makes the management of zygomatic fractures very specific. A good understanding of clinical evaluation and management options for zygomatic fractures will improve outcomes and reduce the risk of complications. Objective: To evaluate the management of open reduction internal fixation (ORIF) in cases of zygomatic fractures. Case report: A 20-year-old man suffered a zygomatic fracture due to a traffic accident. The patient experienced asymmetric face and eye movement disorders after the incident, accompanied by displacement and fracture segments. Management with ORIF was performed on the patient. No complications were found in the patient up to one year after surgery. Methods: A literature search was conducted in PubMed with the keywords "zygomaticomaxillary complex" AND "fracture" AND "management". Results: Seven case reports relevant to the topic and available in full text were obtained from a total of 66 search literatures. Conclusion: Management of zygoma fractures with ORIF is performed in patients with functional and cosmetic disorders, such as asymmetric face, abnormal orbital cavity volume, visual impairment, and impaired chewing function. Other treatments for zygoma fractures include conservative therapy and closed reduction. Conservative therapy is performed in zygoma fractures without functional or cosmetic disorders, such as fractures without displacement or without fracture segments, and in patients with contraindications to surgery. Closed reduction is performed in simple zygoma bone fractures, with minimal displacement, without functional disorders, and stable patient conditions.