Everyday Oral Surgery Zygomatic Fractures: Strategies for Effective Management, with Dr. Aaron Liddell
Apr 15, 2024
Dr. Aaron Liddell, an expert oral and maxillofacial surgeon at Colorado Oral Surgery and consultant for the Denver Nuggets, shares his insights on managing zygomatic fractures. He discusses how these common injuries occur, and the importance of thorough clinical assessments, including assessing for orbital compartment syndrome. Liddell also delves into surgical and non-surgical treatments, emphasizing patient communication about risks and outcomes. With a focus on timing, imaging techniques, and innovative surgical approaches, this conversation is a goldmine for understanding maxillofacial trauma management.
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Orbit Involvement Is The Norm
- ZMC fractures commonly include orbital floor involvement and are better viewed as orbitosygomatic injuries.
- Expect high prevalence in midface trauma and plan evaluations accordingly.
Do A Complete Primary Survey
- On primary survey, inspect buttresses, palpate sutures, and document any steps or deformities.
- Perform a thorough ophthalmologic exam including visual acuity and extraocular motility and document findings.
Treat Orbital Compartment Quickly
- Recognize orbital compartment syndrome and perform urgent lateral canthotomy with inferior cantholysis to decompress the orbit.
- Use local anesthetic, snip horizontally, then cut the inferior limb to allow egress of retrobulbar pressure.