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Malar fracture in East Paris
Maxillofacial Surgery Pr Meningaud
What does a patient with a malar fracture look like?
The clinical picture associates :
on inspection (photo below) :
ecchymosis (blue) of the lower eyelid,
ecchymosis of the eye (conjunctiva);
effacement of cheekbone, often masked by edema;
epistaxis (small nosebleed, often short-lived).
inconstant signs: lower eyelid pulled down by fractured orbital rim, small enophthalmos (eye appears smaller)
no disorder of dental articulation (the way teeth touch).
Malar Fracture in East Paris
Maxillofacial Surgeon Paris Est Créteil
– on palpation: painful notching of the bony edges of the orbital rim
– look for :
loss of sensitivity of the nasal bridge and upper lip; complete nerve transection is very rare.
limitation of mouth opening;
limitation of eye movement with diplopia (double vision), requiring an ophthalmological assessment if possible. However, diplopia is rarer than in isolated orbital wall fractures.
subcutaneous emphysema (air under the skin) of the cheek linked to fracture of the anterior wall of the maxillary sinus.
The illustrations are not photographs, but sketches made by the author, highlighting with dotted lines the targeted areas (face and neck) for rejuvenation surgery. Results may vary from patient to patient, depending on skin condition, lifestyle, age and general state of health.
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