FUNCTIONAL AND AESTHETIC OUTCOMES OF ORBITAL FLOOR RECONSTRUCTION IN ZYGOMATIC-ORBITAL COMPLEX TRAUMA

Background: Orbital floor fractures associated with zygomatic-orbital complex trauma represent a significant challenge in craniofacial surgery due to the risk of functional and aesthetic complications, including diplopia, enophthalmos, orbital asymmetry, and impaired ocular motility. Modern reconstructive approaches emphasize restoration of orbital anatomy and facial symmetry through individualized surgical planning and stable fixation techniques. Objective: To evaluate the functional and aesthetic outcomes of orbital floor reconstruction in patients with zygomatic-orbital complex trauma using clinical, radiological, and anthropometric assessment methods. Materials and Methods A retrospective clinical study included patients with zygomatic-orbital complex fractures involving the orbital floor. Preoperative and postoperative evaluation included computed tomography (CT), ophthalmologic examination, anthropometric facial analysis, and assessment of ocular motility. Surgical treatment consisted of open reduction and internal fixation combined with orbital floor reconstruction using titanium mesh and individualized reconstructive techniques. Results: Postoperative evaluation demonstrated restoration of orbital anatomy and significant improvement in facial symmetry. Reduction of enophthalmos, normalization of orbital volume, improvement of ocular motility, and resolution of diplopia were achieved in the majority of patients. Anthropometric analysis demonstrated restoration of midfacial projection and orbital symmetry. Stable functional and aesthetic outcomes were observed without severe postoperative complications.