Refining Indications for Orbital Floor Reconstruction in Zygomaticomaxillary Complex Fractures
Of 232 patients with ZMC fractures, 14 underwent orbital floor exploration and repair. Patients with symptoms of orbital dystopia (RR=46.7, P<0.001) or malar flattening (RR=2.3, P=0.025) were significantly more likely to require repair. Concomitant facial fractures also portended need for floor reconstruction. Patients with posterior zygoma displacement <1.72 mm demonstrated no need for orbital floor management, while those with impaction ≥3.02 mm had a 40% probability of requiring surgical intervention.
Authors
- Ben Rhee (ORCID: https://orcid.org/0000-0001-5943-3570)
- Nikhil Sobti
- Marina Hahn (ORCID: https://orcid.org/0000-0001-5401-4246)
- Jesse E. Menville (ORCID: https://orcid.org/0000-0003-1008-954X)
- Luke Soliman (ORCID: https://orcid.org/0000-0002-3397-603X)
- Damon R.T. McIntire
- Vinay Rao (ORCID: https://orcid.org/0000-0002-5085-5045)
- Thor S. Stead (ORCID: https://orcid.org/0000-0003-3602-6387)
- Albert S. Woo
Institutions
- Brown University (US)
- University of Pennsylvania (US)
Publication Details
- Journal
- Journal of Craniofacial Surgery
- Published
- 2025-08-18
- DOI
- https://doi.org/10.1097/scs.0000000000011785
- Citations
- 1
- Primary Topic
- Facial Trauma and Fracture Management
- Type
- article
- Field-Weighted Citation Impact
- 2.01