Optimizing the management of orbitozygomatic fractures

R. J. Rohrich, L. H. Hollier, D. Watumull

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

Our understanding of the biomechanics and current management of orbitozygomatic fractures has evolved with the development of craniomaxillofacial surgery. Early management was minimal, with reduction alone as the uniform treatment, and the only variation was the approach used. However, a critical review of the literature using these methods revealed that many of these fractures were unstable after simple reduction alone. Using the principles of craniofacial surgery, our clinical experience, and the data presented in this article, a pragmatic algorithm for optimizing the management of orbitozygomatic fractures is presented. Our approach to this problem has been graduated, with orbitozygomatic fractures being divided into two general categories: nondisplaced and displaced. The nondisplaced orbitozygomatic fracture is treated nonoperatively, with close patient follow-up to detect signs of malunion. Displaced fractures are openly reduced and rigidly fixed internally with mini- and/or microplates. The orbit is routinely explored, especially in high-velocity injuries. The orbit is anatomically as well as volumetrically reconstructed with bone grafts, if needed, to prevent postoperative enophthalmos.

Original languageEnglish (US)
Pages (from-to)149-165
Number of pages17
JournalClinics in Plastic Surgery
Volume19
Issue number1
StatePublished - 1992

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Orbit
Enophthalmos
Biomechanical Phenomena
Transplants
Bone and Bones
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Rohrich, R. J., Hollier, L. H., & Watumull, D. (1992). Optimizing the management of orbitozygomatic fractures. Clinics in Plastic Surgery, 19(1), 149-165.

Optimizing the management of orbitozygomatic fractures. / Rohrich, R. J.; Hollier, L. H.; Watumull, D.

In: Clinics in Plastic Surgery, Vol. 19, No. 1, 1992, p. 149-165.

Research output: Contribution to journalArticle

Rohrich, RJ, Hollier, LH & Watumull, D 1992, 'Optimizing the management of orbitozygomatic fractures', Clinics in Plastic Surgery, vol. 19, no. 1, pp. 149-165.
Rohrich RJ, Hollier LH, Watumull D. Optimizing the management of orbitozygomatic fractures. Clinics in Plastic Surgery. 1992;19(1):149-165.
Rohrich, R. J. ; Hollier, L. H. ; Watumull, D. / Optimizing the management of orbitozygomatic fractures. In: Clinics in Plastic Surgery. 1992 ; Vol. 19, No. 1. pp. 149-165.
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