Zygoma: main support between the maxilla and the skull 1
Composes the lateral wall and floor of the orbit as well as the zygomatic arch
Zygoma fracture (ZF) results from blunt trauma to the side ...
Trauma: accident, physical assault, sports (see above)
Direct ocular injury or intraorbital hemorrhage
Binocular diplopia: 30%
Paresthesia of face in equivalent dermatome
Airway, breathing, circulation (ABCs)
10–50% require no surgical intervention 5.
Stable, nondisplaced fractures may be observed weekly for healing.
Treat within 10 days if displaced fractures.
Avoid nose blowing for fear of orbital emphysema and potential blindness.
Warn about signs and symptoms of orbital/retrobulbar hemorrhage.
Advise patients to call the surge...
Suspect a ZF if blow to side of the face.
Consider coexisting ocular, head, and cervical spine injury.
X-ray is used first, but CT is the modality of choice.
Tell the patient not to blow ...
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