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Research Letter
May 16, 2019

Trends in Concurrent Orbital Floor Repair During Zygomaticomaxillary Complex Fracture Repair

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, University of Kansas School of Medicine, Kansas City
JAMA Facial Plast Surg. 2019;21(4):341-343. doi:10.1001/jamafacial.2019.0201

Orbital floor (OF) fractures are, by definition, a component of zygomaticomaxillary complex (ZMC) fractures. The need for concurrent OF repair during ZMC repair remains a topic of discussion. Current evidence in the literature favors a more selective approach to exploring and repairing the OF during repair of ZMC fractures.1-4 Proponents of selective OF exploration advocate that precise ZMC reduction corrects orbital volume without the need for OF exploration in most concurrent ZMC and OF fractures. Unnecessary OF exploration increases potential morbidity and adds to costs. We sought to determine if surgeons’ operative trends in clinical practice paralleled recommendations in the literature regarding concomitant OF exploration and repair during ZMC fracture reduction.