Can You Safely Engage in Extreme Sports After Zygomatic Fracture Surgery? - Plastic Surgery

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Engaging in extreme sports after a zygomatic fracture surgery, particularly one that involved open reduction and internal fixation, raises several important considerations regarding safety and the integrity of the healed bone. Given your history of a right zygomatic fracture due to a car accident, and the fact that it has been three and a half years since your surgery, it is crucial to evaluate both the physical healing of your facial structure and the potential risks associated with extreme activities like skydiving and scuba diving.

Firstly, the zygomatic bone, or cheekbone, plays a significant role in the structural integrity of the face. After surgical intervention, the bone typically heals over time, but the extent of healing can vary based on several factors, including the nature of the fracture, the surgical technique used, and individual healing responses. In your case, since you have undergone surgery and have had a significant amount of time for recovery, it is likely that the bone has healed adequately. However, the specific characteristics of your healing—such as bone density and alignment—are critical in determining whether it can withstand the forces encountered in extreme sports.

When considering activities like skydiving, the forces experienced during free fall can be substantial. The rapid descent and the potential for sudden impacts upon landing can exert significant stress on the facial bones, including the zygomatic region. If the bone has not fully regained its original strength or if there are any residual weaknesses, there is a risk of re-injury. Additionally, the impact forces from landing could potentially lead to complications, especially if the bone has not completely healed to its original state.

Scuba diving presents its own set of challenges. The pressure changes experienced during descent and ascent can affect the sinuses and facial bones. If there are any lingering issues with the zygomatic bone or surrounding structures, such as the sinuses, this could lead to discomfort or injury during diving. Moreover, the risk of barotrauma, which is injury caused by pressure changes, could be exacerbated if the structural integrity of the facial bones is compromised.

Given these considerations, it is advisable to consult with your orthopedic surgeon or a specialist in facial trauma before engaging in extreme sports. They may recommend imaging studies, such as a CT scan, to assess the current state of your zygomatic bone and ensure that it has healed properly. This evaluation can provide valuable insights into whether your bone can withstand the stresses associated with activities like skydiving and scuba diving.

In summary, while it is possible that you may be able to engage in extreme sports after a zygomatic fracture, it is essential to prioritize safety and seek professional medical advice. A thorough evaluation of your healing status will help determine the risks involved and whether you can safely participate in these activities. Always listen to your body and proceed with caution, especially when it comes to high-impact or high-risk sports.