Zygoma Fractures: When Should You Repair the Orbital Floor?

Seventy-nine zygomatic fracture cases met the study criteria, with 43 receiving an implant after orbital floor exploration. For every 1 mm increase in zygomatic displacement in the anterior-posterior direction, patients had 1.30 times higher odds of receiving an orbital implant ( P =0.015). Rectus rounding and orbital floor defect volume were similarly among the strongest indications for orbital floor implant placement ( P <0.001).