what a stupid description you got
YOU HAVE PROBABLY TYPICAL ZMC FRACTURE (3POD) WITH DISPLACEMENT - one piece of bone
IF THERE IS ONE PIECE OF BONE ZYGOMATIC ARCH DOES NOT NEED TO BE FIXATED. EVEN IT OFTEN DOES NOT TO BE FIXATED WHEN YOU HAVE ISOLATED ZYGOMATIC FRACTURE
that bone is always broken in 3 places
orbita floor is always broken !!!
orbital floor is part of zygomatic bone
it's not worse.. it's like I suspected.
typical fracture
sygnificant displacement ? how many mm ? put your CT here I will tell you more
BUT NOTHING TO BE SCARE, IT'S TYPICAL SIMPLE FRACTURE
JUST THE DESCRIPTION YOU GOT IS LITTLE STRANGE
AVOID CORONAL APPROACH - IT'S NOT APPROACH FOR SUCH SIMPLE THINGS. It's devastating approach for you mind. Never do that on such simple problems. Its like shooting birds with cannon
Do typical close or open reposition / reduction
As i understand close reduction is possible (without plates) - so try it - but ask the doctor what about your canal if this will be good for your nerve decompression. After close reduction you have to be very careful for first month and observe yourself a few times a week. It's easy to teach patient how to look at it whether the bone is still in proper position. Even I can teach You
open reduction is more "safe / stable" but you have incisions plates bla bla bla ..then you have to put it out...sometimes you need incision on the lower eyelid - which heals 6 months - the most annoying incision. During healing your are is noticeable bigger
because the eyelid is pulled down by scar. There are pluses and minuses of those options. If fracture is simple - one piece of bone , i would choose close reduction (no incision, no plates) and observe myself being very careful
YOU CAN ALSO DO SOMETHING BETWEEN. CLOSE REDUCTION AND INSTALL ONE MINIPLATE (TO REMOVE) ON THE EYEBROW. Consider this.
The incision on the eyebrow heals very fastly, and the plate can be removed using local anasthetics
withou correction you will have what i had.. flattened face and nerve recovery failure
the stupid description you got make me thinking you should find another hospital / another doctor
It's easy to repair
but i wonder why she/he want to makes any incision on close reduction. Why not to screw in your cheek kind of thin lever to get easy manipulation
like this - however it's too short on this example - normally it's longer. Just imagine . It's simple physics
you will have just little dot on the cheek, which will heal in 3 weeks
show me CT i will tell you more...which approach is possible . Put all DICOM files, I will do 3D reconstruction, or do it yourself and give me some screenshots
Just compress (ZIP) DICOM folder from your CD and send me. Put on a server, or we can connect via Skype and you will send it in peer-to-peer mode. PM me