Facial Reconstructive Surgery: Q&A
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Can Broken Zygoma Bone Be Fixed?
I had a zygoma bone broken 3 years ago. It has been left spun under and in on the arch and part of my eye socket at about 5 millimitres. Is this something that can be corrected? I'm interesred in my own bone not an implant and I hate the way it look. Thank you.
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14 Doctor Answers |
Asked by
denver1000
in Vancouver, BC
+2
Zygomatic Osteotomy for Secondary Correction of Old Fracture
Zygomatic fractures rotate down and inward resulting in a cheek deficiency and an orbital lowering if left unrepaired. Depending upon the extent of the bone displacement, the zygomatic complex can be re-fractured (osteotomized) and reposiitoned back to its pre-injury position long after the bone has healed. This is done through an intraoral and lower eyelid incisions. Based on how much zygomatic movement needs to be done, a bone graft may also be needed.
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Late repair of zygoma fracture.
Cheek bone fractures can be difficult to repair. The difficulty of this type of repair certainly increases as time goes on due to scarring of the bone. Like skin, bone forms a scar over the injury site to naturally stabilize the fracture.
Since it has been three years since the fracture occurred, scarring is the rule. There are many approaches to access the fracture through the eyelid, inside of the mouth, or scalp. Once exposed the healed fracture would likely need to be...
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Late repair of a zygoma
Late repair of a zygoma is difficult but doable. It depends on your aesthetic and functional deficit. Cheek contour defects can often be repaired by implants or grafting of rib bone to the surface of the zygoma/orbital rim, or with osteotomies (rebreaking). For associated orbital fractures causing sinking of the eye, orbital implants are used to reform the contour of the eye socket.
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Repair of mal united zygoma
A Photograph of your face would have been helpful to determine the deformity. Although it it may difficult and challenging with proper maxillofacial reconstructive surgical tecnique a satiffactory correction is possible .Calvarial split grafts(thin sheets of your own skull bone) is the ideal material if you prefer your own tissue. Cadaveric bone paste combined with GEM21 growth factor matrix may also be used as graft matatrial. You also need to get 3D Ct Scan of...
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Los Angeles Facial Plastic Surgeon
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Broken Zygoma
A broken facial bone that has "healed" into a poor position can be difficult to fix. Options are as follows:
Use of facial fillers to balance facial asymmetry
Use of alloplastic implants to balance facial asymmetry
Formal osteotomies are re-plating of fracture
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Old zygoma fractures are tough to fix
When the zygoma breaks, it alters a few critical facial structures that effect cheek projection, eyeball position and facial width. Fixing an old zygoma fracture (or one that was repaired incorrectly the first time around) can be difficult. You've got two options- if your eyeball position is okay, then your cheek projection and facial width can be restored with bone grafts or an alloplastic implant. The other option is to osteotomize the zygoma and rotate it back into position and...
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Revision Facial Fracture Surgery
As someone who has done probably more facial fracture than anyone else in northern VA I can tell you of course it can be fixed. Correcting facial fractures that were either not repaired initially or were repaired poorly are difficult to repair but definitely not impossible.
The surgery involves cutting the bone at the previous fracture site, reducing or realigning the bone and plating the "new" fracture. It definitely is not as easy as fixing an acute fracture but the...
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Facial bone malpostion can be fixed without implants
We see many patients with old facial injuries. I have recently corrected several old deformities that have failed correction with injections, and facial implants. I use a technique that involves your own rib cartilage and other tissues in your body.
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Zygoma fracture
This can be an extremely difficult and challenging problem and nearly impossible to correct completely. You should seek evaluation by a craniofacial surgeon to discuss your options for management
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Delayed Zygoma Repair Is Difficult Use Cheek Implant instead or Filler
It is very difficult to repair a zygoma bone after it is healed in a new position. You have to address the question;
what is it that you are trying to accomplish?
If you just want a prominent cheek bone then use a filler or a cheek or zygoma implant. It is a lot less risky than trying to fix an old zygoma fracture.
If it is only a zygomatic arch fracture then may be it can be fixed. However, if the orbit is involved it can be dangerous as moving the bones and breaking them can cause a bleed...
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Fixing an old cheek bone fracture
Correcting a previously displace zygoma can be difficult. It would have to be broken again in a process called osteotomies to bring the bone back out. This can create a lot of swelling and nerve weakness which are significant risks of the procedure. A better alternative is an implant placed through the mouth. Other alternatives that I have found that work well to correct the cosmetic disparity if there is no functional component include injections of Sculptra which is an excellent volumizing...
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Zygoma repair is possible
Greetings,
Sorry to hear that you have a problem with a previous facial fracture. It is possible to repair a healed midface fracture but this is a very difficult problem. In some cases, the bones can be rebroken and placed back into position. In other cases, other grafting procedures can be undertaken to obtain the desired cosmetic results and improve the eye's position in the eye socket. I would suggest visiting a reconstructive facial plastic surgeon for an opinion about the best course of...
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Broken zygoma bone can be fixed
Hello,
This can be repaired but can be difficult. It may need to be broken again and grafts of bone might be needed as well. The redo rate rate is fairly high when you are so many years out from the injury.
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Fractured zygoma that has healed in an abnormal position can be fixed
Yes, a zygoma that was fractured and now has healed in an abnormal position can be fixed. It requires one of two approaches. The first would be to leave the zygoma in its current position and use grafts or implants to build up the zygoma and eyesocket (if involved). Bones grafts that are your own are usually best obtained from your skull. The second appraoch requires recreation of the fracture pattern of the zygoma to reposition it and reserved for severely displaced healed zygoma fractures...
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