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- W2944519121 abstract "Background: Deformational plagiocephaly (DP) is often treated with simple, conservative measures as an infant to correct calvarial deformities, however facial characteristics may persist into adulthood. We present a series of patients with pre–injury asymmetry and zygoma fractures that required alternative approaches to reduction and fixation due to their inherent calvarial deformities and/or facial scoliosis. Methods: Four consecutive cases of zygoma fractures requiring alternative reconstructive techniques were reviewed. Each patient was counseled on their inherent asymmetry and offered creative solutions to minimize deformity. Operative interventions ranged from simple open reduction and internal fixation to implant based malar augmentation. Results: Four patients with facial asymmetry underwent repair of traumatic zygoma fractures. Patient 1 had a remote history of DP with a cranial index 106%. Patients 2–4 did not have plagiocephaly but did display varying degrees of facial asymmetry. The timing of the first evaluation and surgery varied from 1 week to 10months. Patients 1 and 2 underwent camouflaging malar reconstruction using either autologous fat grafting or porous polyethylene implant placement. Patients 3 and 4 underwent traditional fixation with variable amounts of reduction. All patients achieved excellent facial symmetry or complete reduction of the ZMC congruent with their goals. There were no cases of postoperative complications related to lower lid position, nerve dysfunction, or infection. Conclusion: When patients with facial asymmetry have traumatic injury of the ZMC standard options may require modification to meet patient goals. Careful consideration of pre–injury appearance, reconstruction requirements, and thoughtful surgical planning allow for successful outcomes." @default.
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- W2944519121 date "2018-02-19" @default.
- W2944519121 modified "2023-09-27" @default.
- W2944519121 title "Surgical Management of Zygoma Fractures in Patients with Pre-injury Facial Asymmetry" @default.
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- W2944519121 doi "https://doi.org/10.15406/joentr.2018.10.00312" @default.
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