Correcting Deformities After Traumatic Zygomatic Orbital Fractures - Plastic Surgery

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Deformity after traumatic zygomaticomaxillary complex fracture?


I was in a car accident six months ago and initially experienced facial numbness, swelling, and bruising, which I thought were just from the impact, so I only applied ice.
Recently, I noticed that the numbness in my face hasn't improved, and my face appears asymmetrical in photos.
After researching, I consulted a doctor and found out that I have a healed fracture of the zygomatic bone, resulting in facial asymmetry.
The doctor diagnosed it as a post-traumatic zygomatic and orbital fracture deformity.
If I decide to undergo surgery for correction, is navigation surgery the only option? Are there hospitals in the central region that can perform this type of surgery? The doctor mentioned that I can only have the surgery at Chang Gung Memorial Hospital in Taipei.

Ding Ding, 30~39 year old female. Ask Date: 2022/11/23

Dr. Lü Mingchuan reply Plastic Surgery


It is recommended to undergo surgery at Chang Gung Memorial Hospital in Taipei.

Reply Date: 2022/11/23

More Info


When dealing with traumatic zygomatic orbital fractures, particularly those that have resulted in facial asymmetry and other complications, it is crucial to understand the nature of the injury and the available treatment options. In your case, it appears that you sustained a zygomatic bone fracture from a car accident, which has led to persistent facial numbness, swelling, and asymmetry. These symptoms indicate that the fracture may not have healed properly, resulting in deformity.


Understanding Zygomatic Orbital Fractures
The zygomatic bone, commonly known as the cheekbone, plays a significant role in the structure of the face and the orbit (eye socket). Fractures in this area can lead to various complications, including malocclusion (misalignment of the teeth), diplopia (double vision), and facial asymmetry. The healing process can sometimes result in deformities if the bone fragments do not align correctly during the healing phase.


Surgical Options
When it comes to correcting deformities caused by zygomatic orbital fractures, surgery is often the recommended course of action, especially if the deformity is significant and affects function or aesthetics. The surgical procedure typically involves repositioning the fractured bone fragments to restore symmetry and function.
1. Surgical Techniques:
- Navigation Surgery: This advanced technique utilizes imaging technology to guide the surgeon in real-time, ensuring precise placement of bone fragments. While navigation surgery can enhance accuracy, it is not the only method available. Traditional surgical techniques can also be effective, depending on the complexity of the fracture.

- Open Reduction and Internal Fixation (ORIF): This is a common surgical approach where the fractured bones are realigned and held in place with plates and screws.

2. Consultation with Specialists:
- It is essential to consult with an oral and maxillofacial surgeon or a plastic surgeon specializing in facial trauma. They can provide a thorough evaluation and discuss the best surgical options tailored to your specific case.


Availability of Surgical Services
Regarding your concern about the availability of surgical services, while you mentioned that your doctor suggested going to Taipei Chang Gung Memorial Hospital, it is worth exploring other medical centers in the central region that may offer similar services. Many hospitals have departments specializing in maxillofacial surgery, and they may have the necessary expertise and technology to perform the required procedures.

Post-Surgical Recovery
After surgery, recovery will involve follow-up appointments to monitor healing, manage any complications, and possibly engage in physical therapy to regain full function. The timeline for recovery can vary based on the extent of the surgery and individual healing rates.


Conclusion
In summary, if you are considering surgery to correct the deformities resulting from your zygomatic orbital fracture, it is essential to consult with a qualified specialist who can provide a comprehensive evaluation and discuss the best surgical options available. While navigation surgery is an advanced technique, traditional methods may also be effective. Additionally, do not hesitate to seek opinions from multiple medical centers to find the best care for your situation. Your health and well-being should always be the priority, and timely intervention can significantly improve your quality of life.

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