Doctor insights on:
Orbital Zygomatic Fracture
Fractures: Most fractures are painful in the first few days, and especially when muscles and joints pull on the fractured bone. The zygomatic bone is not directly involved with any joints or moving parts. Therefore, if the fracture is stable (i.e. Not moving), then it might be painless. Additionally, a healed zygomatic fracture that does not impinge on nerves, muscle or blood vessels can also be painless ...Read more
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
Little compression of the v2 nerve (90% of norm. Feeling) due to entraptment — zygomatic fracture 3y ago. Full recover after decompression possible?
Cheek bone: The zygoma forms the bulk of your cheek. A fracture is referred to as a tripod fracture but really is a quadrapod wri splaying a common fracture pattern: 1) the boney ledge under your eye, 2) the boney rim to the outside of your eye (near temple), 3) the boney arch/ridge that travels towards the ear 4) the bone support extending down to the upper teeth/canine area. Numbness upper lip is common. ...Read more
Can a man stay conscious while being struck in head with maglite multiple times violently if he recieved fracture of the left frontal zygomatic suture?
Overlooked zygomatic fracture: 3y ago
eye: ok v2 nerve area:90% of normal feeling. Re-fracture surgery possible? Any chance to full recover of v2?
Maxillofacial: You may need to be evaluated by a plastic or maxillofacial surgeon. ...Read more
I was hit pretty hard with a wrench on what I think is my zygomatic bone no fracture but now i have issues with my sinuses. Possible the hit is cause?
Maybe (not) . . .: What sinus issues are you suffering from? Perhaps, it's just coincidental. Sinus congestion is common result of allergies & pollen exposure, not to mention myriad cold viruses. See your Family Doc or ENT if no improvement w/OTC antihistamines & decongestants (assuming that you're bothered by allergies & congestion). If double vision or increase pain, then see ENT & Ophth immediately. ...Read more
Depends: The type of surgery required to correct your zgomatic arch fracture will depend on where the fracture is and any other bones involved. An isolated arch fracture can often be reduced by elevating the fracture through a small incision inside the mouth in the tissues between the cheek and upper jaw. A more significant fracture may require multiple approaches and the use of bone plates and screws. ...Read more
After a surgical repair of a zygomatic arch fracture 2 weeks ago, how should recovery go as far as mobility of the jaw? When should it improve?
Zygoma Fracture: Zygomatic arch fractures can impinge the lower jaw causing decreased mobility. After surgical repair there is swelling that can hinder jaw motion for a few weeks. Your jaw motion should be improving soon. Discuss this issue with your surgeon. ...Read more
Varies by location: Orbital fracture is a vague term which includes several types of fractures. Symptoms could include double vision, blurry vision, pain, nose bleed, air in the orbit or cheek, etc. Some orbital fractures are basically without symptoms. You should be checked out by your eye md if you have any vision issues and see a ENT or plastic surgeon that treats facial fractures. ...Read more
Orbital fracture: Definitely see your local Plastic Surgeon or ENT! ...Read more
See below: An orbital fracture is a break in any one of the bones that make the eye socket (better known as the "orbit".). ...Read more
Maybe nothing : If you have no symptoms or enophthalmos do nothing. The biggest symptom will be double vision. If no Diplopia and they eyes appear symmetric do nothing. ...Read more
Swelling, bruising..: Depending on the type of fracture, you may have double vision, orbital pain, swelling, bruising and eye irritation for the sutures and numbness in the face and teeth. All of these should resolve with time, although some may be permanent, especially if present before surgery. ...Read more
Swelling/Irritation: After surgery for an orbital fracture, most patients will experience swelling, bruising, and irritation. These are typically short-lived. Because these surgeries involve work around delicate structures of the eye, your surgeon will likely follow you closely initially to make sure there is not a reduction of vision as this may suggest compromise to the blood supply to the eye. ...Read more
Rapidly: The facial area is well vascularized and a good blood supply enhances healing. Facial fractures, even which requiring surgical assistance heal rapidly, generally over a period of 1-3 weeks. There can be some minor symptoms which last several months related to re-organization of the disrupted nervous system in the injured area. ...Read more
Black eye: Depends on extent of fracture and complications if any. ...Read more
Depends where it is: Any injury to the eye socket bones can be serious. Not all require surgical repair but it is essential that you have a complete eye exam to be sure there is no injury inside the eye. The decision on whether the fracture needs surgery depends on where it is, how large it is and whether it affects the nerves or muscle around the eye. ...Read more
Orbital Fracture: Greetings. By definition an orbital fracture with entrapment becomes a surgical consideration in the right patient. First you would need to have double vision with upward gaze. Also, your eye movements would need to be limited because of the fracture limiting muscle movement. A CT image is usually needed prior to surgery. Finally, seeing an experienced board certified surgeon is recommended. GL ...Read more
Is a headache normal after having surgery on an orbital fracture? How long before the pain goes away?
Common: Surgery has been done on an area of your body, the orbit, which is richly innervated with pain and other sensory fibers. These were disturbed in the injury and in the surgery and it will take a little while for it to feel normal. Your surgeon has probably prescribed something to deal with moderate pain, but if the pain is excruciating, contact the surgeon. ...Read more
What I if choose not to get the surgery for orbital fracture/entrapment? What are the long-term downsides?
Diploplia: If there;s entrapment, eventually there could be double vision, pain, and restrictive movement of the eyeball. It would be strongly recommended. However, if there is no entrapment, then it depends on the risk of entrapment occurring... ...Read more
How can a repaired orbital fracture that happened 8 years ago, give me problems now with tingling and numbness?
Orbital fracture: Sensory nerves travel along some bones of the orbit, mainly the infraorbital nerve which travels in the orbital floor and exits under the eye to supply sensation to the cheek, lower eyelid, and upper teeth on that side. The orbital floor is commonly fractured, leading to numbness. However, if a plate was placed to support the floor, it might be shifting and impinging on the nerve. Get it checked. ...Read more
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more