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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.

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