Surgical Management of Zygomatic Maxillary Complex Fractures as Day-Case Procedures

Introduction: Fractures of the zygomatic maxillary complex (ZMC) may require surgical management (ORIF) if they are significantly displaced, cause functional problems or involve the orbit (causing diplopia, restriction or enophthalmos). Patients are routinely kept in overnight for observations due to the perceived risk of post operative retrobulbar haemorrhage/orbital compartment syndrome (RBH/OCS). In-patient beds are the most in demand resource in the NHS and by utilizing a day-case enhanced recovery pathway, we are able to implement same day discharge with a minimal post operative observation time of 6hours.

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