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Zygomatic fracture, unspecified side, initial encounter for open fracture
ICD10CM code
Name of the Condition
- Zygomatic fracture
- Cheekbone fracture
Summary
A zygomatic fracture is a break in the zygomatic bone, commonly known as the cheekbone. This condition occurs when the bone is cracked or shattered on one side of the face due to trauma.
Causes
- Direct impact to the face, such as during a fall, car accident, or assault.
- Sports injuries involving contact with the face.
- Blunt force trauma from objects.
Risk Factors
- Participation in contact sports or activities with a high risk of facial injuries.
- Engaging in high-speed activities without appropriate protective gear.
- Individuals with a history of previous facial fractures.
Symptoms
- Swelling and bruising around the cheek and eye area.
- Visible deformity or flattening of the cheekbone.
- Difficulty or pain when opening the mouth or chewing.
- Double vision due to the proximity to the eye socket.
Diagnosis
- Physical examination to assess swelling and deformity.
- Imaging tests such as X-rays and CT scans to confirm the fracture and evaluate the extent of the injury.
Treatment Options
- Surgical intervention: To realign the bone fragments and stabilize the fracture using plates and screws.
- Pain management: Medications to control pain and swelling.
Cold compresses: To reduce swelling in the affected area.
Prognosis and Follow-Up
- Most patients recover with appropriate treatment, though healing time varies based on the severity of the fracture.
- Regular follow-up appointments to monitor healing and address any complications.
Complications
- Infection, particularly with open fractures.
- Permanent facial deformity if not treated correctly.
- Vision problems if the fracture affects the eye socket.
Lifestyle & Prevention
- Wearing protective headgear during sports or risky activities.
Implementing safety measures in vehicles to reduce impact injuries.
When to Seek Professional Help
- Severe swelling or deformity after facial trauma.
- Persistent pain or numbness in the cheek area.
- Changes in vision or difficulty moving the jaw.
Additional Resources
- American Association of Oral and Maxillofacial Surgeons (AAOMS)
- Facial Trauma Support Groups
Tips for Medical Coders
- Ensure specificity in documenting whether the fracture is open or closed.
- Be attentive to the laterality, even if unspecified, as this might have implications for treatment and management.