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Updated: May 30, 2026

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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Fronto-orbito-zygomatic trauma with eyelid involvement
Giuseppina Fini1, Laura Frontero, Flavia Cascino
1NESMOS, Department of Neurosciences, Mental Health and Sensory Organs, Epithesis Centre, Faculty of Medicine and Psychology Sapienza, Rome, Italy.
The Journal of Craniofacial Surgery
|July 21, 2011
Summary
Facial trauma involving the fronto-orbito-zygomatic arch frequently affects eyelids. Prompt eyelid treatment is crucial to prevent vision loss and ensure functional and aesthetic recovery.
Area of Science:
- Plastic Surgery
- Ophthalmology
- Trauma Surgery
Background:
- The fronto-orbito-zygomatic arch is a common site for facial trauma.
- Eyelid involvement frequently accompanies these injuries, posing significant challenges.
Observation:
- A study reviewed 135 patients with fronto-orbital eyelid complex alterations from 2001-2010.
- Most patients presented with emergency injuries (80%) from accidents or assaults.
- Soft-tissue treatment, particularly for eyelids, proved more complex than bone repair.
Findings:
- Bone and soft-tissue injuries were common, with varying degrees of severity.
- Delayed treatment or secondary reviews were necessary for a subset of patients.
- Eyelid injuries require immediate attention to prevent severe complications like vision loss.
Implications:
- Timely and comprehensive surgical management is essential for both functional and aesthetic outcomes.
- Prioritizing eyelid repair can mitigate risks of corneal damage and permanent vision impairment.
- Integrated surgical planning is key for successful reconstruction of complex facial trauma.
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