Zygomatico-orbital fractures a case report

Abstract

Background: Zygomatico-orbital fracture is one of the delicate maxillofacial fractures. The diagnosis and decision- making in respect of the appropriate line and techniques of management is extensively discussed in the world literature. However, in Nigeria, reports on the incidence and management of Zygomatico-orbital fractures are rare.
Objective: To present 2 cases of zygomatico-orbital fractures treated at the University of Port-Harcourt Teaching Hospital.
Method: The diagnosis and management of 2 patients who were
involved in road traffic accidents are presented and discussed.
Patient 1 had extensive soft tissue laceration in association with an
obvious markedly displaced zygomatico-orbital fracture and was
treated under GA less than 24 hours after injury. Patient 2 had a
closed zygomatico-orbital fracture which was detected radiographically and was treated 1 week post injury.

Results: The different clinical pictures in the two cases are related to the mechanism of injury and the technicalities involved in diagnosis and treatments as well as the short term outcome of treatment are discussed.
Conclusion: There is paucity of reports on the management of
zygomatico-orbital fractures in Nigeria. More reports are desirable
for comparison of experiences from different centers. In the cases
presented the impact of peculiar clinical presentation on treatment
decisions is exemplified.