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A patient presents with facial pain, swelling, and numbness around the cheekbone area following a blunt force trauma to the face. What are the common symptoms associated with Zygomatic Fractures, and how can they be differentiated from other facial injuries?

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Zygomatic Fractures, also known as cheekbone fractures, are a common type of facial injury often resulting from blunt force trauma to the face.

Here are some common symptoms associated with Zygomatic Fractures:

  • Pain: Localized pain and tenderness around the cheekbone area, which may worsen with movement or pressure.
  • Swelling: Significant swelling around the cheek, eye, and temple region.
  • Numbness: Numbness or tingling sensation in the cheek, upper lip, or gums due to damage to the infraorbital nerve.
  • Deformity: Visible flattening or depression of the cheekbone, asymmetry of the face, or a "step-off" deformity where the fractured bone fragments are misaligned.
  • Trismus: Difficulty opening the mouth fully due to muscle spasm or involvement of the temporomandibular joint.
  • Diplopia: Double vision may occur if the fracture extends into the orbital floor and affects the eye muscles.
  • Subconjunctival Hemorrhage: Bleeding under the conjunctiva (white part of the eye) can be a sign of orbital involvement.

Differentiating Zygomatic Fractures from Other Facial Injuries:

While some symptoms overlap with other facial injuries, the combination of pain, swelling, numbness, and potential deformity around the cheekbone area strongly suggests a Zygomatic Fracture.

It's crucial to seek immediate medical attention for any suspected facial fracture. A healthcare professional will perform a physical examination, order imaging studies (such as X-rays or CT scans), and determine the appropriate treatment plan.

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