Symptoms and Aftereffects of Zygomatic Bone Fractures - Plastic Surgery

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What are the symptoms of zygomatic bone fracture?


Hello, Dr.
Lu.
A few days ago, while I was at home taking care of my child, I was accidentally hit on the front of my zygomatic bone (not the zygomatic arch).
Currently, my condition is as follows: my facial nerves are normal, and I do not have any numbness.
My eyes do not experience double vision, and their movement is normal.
I can open my mouth and chew without any issues.
Externally, there is no significant swelling or bruising, just slight soreness.
Due to the rising pandemic situation, I am hesitant to go to the hospital for imaging.
If there is a zygomatic bone fracture, what symptoms and potential complications might arise? Thank you.

Wanfu, 40~49 year old female. Ask Date: 2022/05/02

Dr. Lü Mingchuan reply Plastic Surgery


Hello: A zygomatic bone fracture may cause pain, deformity, and facial numbness.
However, a definitive diagnosis requires a CT scan.
The Ministry of Health and Welfare Changhua Hospital cares about you.

Reply Date: 2022/05/02

More Info


Zygomatic bone fractures, commonly known as cheekbone fractures, can occur due to trauma, such as being struck in the face. Understanding the symptoms and potential aftereffects of such fractures is crucial for proper management and recovery.

Based on your description, it seems that you are experiencing mild symptoms following the injury. The absence of facial nerve issues, such as numbness, and the normal function of your eyes and jaw are positive indicators. Typically, zygomatic bone fractures can present with a variety of symptoms, including:
1. Pain and Tenderness: This is often localized to the area of the fracture. You mentioned experiencing slight soreness, which is common.

2. Swelling and Bruising: While you noted minimal swelling and bruising, these symptoms can sometimes develop over time. It's important to monitor for any changes.

3. Changes in Facial Contour: In more severe cases, a noticeable deformity may occur, but this does not seem to be the case for you.

4. Vision Changes: Although you are not experiencing double vision, it’s worth noting that some patients may have visual disturbances if the fracture affects the orbital area.

5. Jaw Function: You mentioned that you can open your mouth and chew normally, which is a good sign. Fractures can sometimes lead to difficulty in jaw movement.

In terms of potential aftereffects, zygomatic bone fractures can lead to complications if not properly managed. These may include:
- Chronic Pain: Some individuals may experience ongoing discomfort in the affected area.

- Nerve Damage: Although you currently have no symptoms, nerve damage can occur, leading to numbness or altered sensation.

- Vision Problems: If the fracture extends into the orbit, it can affect the eye and vision.

- Malunion or Nonunion: In some cases, the bone may heal improperly, leading to facial asymmetry or ongoing pain.

Given your current symptoms and the absence of severe complications, it is advisable to monitor your condition closely. If you notice any worsening symptoms, such as increased pain, swelling, or changes in vision, seeking medical attention would be prudent.

In terms of treatment, if a zygomatic fracture is confirmed, management may include:
- Observation: If the fracture is stable and there are no complications, it may simply require monitoring.

- Pain Management: Over-the-counter pain relievers can help manage discomfort.

- Surgery: In cases where the fracture is displaced or causing functional issues, surgical intervention may be necessary to realign the bone.

While you are hesitant to visit a hospital due to the pandemic, it is important to prioritize your health. If symptoms change or worsen, consider consulting a healthcare professional for an evaluation, which may include imaging studies like X-rays or CT scans to assess the fracture more accurately.

In conclusion, while your current symptoms appear mild and manageable, remaining vigilant for any changes is key. Zygomatic bone fractures can have various outcomes, and early intervention can help prevent potential complications. If you have any concerns or if your symptoms evolve, do not hesitate to seek medical advice.

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