{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T14:02:01Z","timestamp":1784901721438,"version":"3.55.0"},"reference-count":11,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,7,14]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Fractures of the zygomaticomaxillary complex (ZMC) represent one of the most frequent midfacial injuries and, if untreated, can result in significant functional and aesthetic sequelae. While open reduction and internal fixation is the standard of care for acute fractures, late presentations remain challenging due to bone remodelling and altered anatomical landmarks. Secondary corrective options include skeletal repositioning via zygomatic osteotomy or implant-based camouflage.<\/jats:p>\n                  <jats:p>We present the case of a young female patient with a displaced ZMC fracture left untreated following urgent cranioplasty abroad. Two months later, she underwent corrective surgery using patient-specific cutting guides, osteotomies and custom fixation plates through a swinging-eyelid and intraoral approach. The procedure successfully restored midfacial symmetry and orbital volume.<\/jats:p>\n                  <jats:p>This case highlights the value of patient-specific surgical planning, multidisciplinary collaboration and careful osteotomy technique in the management of post-traumatic delayed ZMC deformities.<\/jats:p>","DOI":"10.1136\/bcr-2025-271620","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T13:10:20Z","timestamp":1784898620000},"page":"e271620","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Patient-specific approach to the correction of a post-traumatic zygomatic deformity"],"prefix":"10.1136","volume":"19","author":[{"given":"Camilla","family":"Pagnacco","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin M","family":"Salvi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Houlton","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas J","family":"Lee","sequence":"additional","affiliation":[{"name":"University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"2026072406100930000_19.7.e271620.1","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2019-043297"},{"key":"2026072406100930000_19.7.e271620.2","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1007\/s12663-023-01987-4","article-title":"Incidence of Maxillofacial Injuries in the Emergency Department-Retrospective Study","volume":"23","author":"Menon","year":"2024","journal-title":"J Maxillofac Oral Surg"},{"key":"2026072406100930000_19.7.e271620.3","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/S1010-5182(05)80453-6","article-title":"Correction of post-traumatic orbital deformities: operative techniques and review of 26 patients","volume":"23","author":"Hammer","year":"1995","journal-title":"J Craniomaxillofac Surg"},{"key":"2026072406100930000_19.7.e271620.4","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1016\/j.joms.2020.12.009","article-title":"The Use of Interlocking Polyetheretherketone (PEEK) Patient-Specific Facial Implants in the Treatment of Facial Deformities. A Retrospective Review of Ten Patients","volume":"79","author":"Anabtawi","year":"2021","journal-title":"J Oral Maxillofac Surg"},{"key":"2026072406100930000_19.7.e271620.5","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1016\/j.joms.2021.01.017","article-title":"Is Zygomatic Osteotomy a Viable Option to Achieve Symmetry and Stability in Post-traumatic Residual Deformity of the Zygomaticomaxillary Complex?","volume":"79","author":"Rathod","year":"2021","journal-title":"J Oral Maxillofac Surg"},{"key":"2026072406100930000_19.7.e271620.6","doi-asserted-by":"crossref","first-page":"e713","DOI":"10.1097\/SCS.0000000000009676","article-title":"Secondary Reconstruction of Late Deformities of the Orbitozygomaticomaxillary Complex using a Halo Device","volume":"34","author":"Nuri","year":"2023","journal-title":"J Craniofac Surg"},{"key":"2026072406100930000_19.7.e271620.7","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/S1010-5182(87)80046-X","article-title":"Secondary post-traumatic periorbital surgery","volume":"15","author":"Freihofer","year":"1987","journal-title":"J Craniomaxillofac Surg"},{"key":"2026072406100930000_19.7.e271620.8","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/S1010-5182(05)80002-2","article-title":"Effectiveness of secondary post-traumatic periorbital reconstruction","volume":"23","author":"Freihofer","year":"1995","journal-title":"J Craniomaxillofac Surg"},{"key":"2026072406100930000_19.7.e271620.9","doi-asserted-by":"crossref","unstructured":"Wu D , Liu X , Wu D , et al . Normal Values of Hertel Exophthalmometry in a Chinese Han Population from Shenyang, Northeast China. Sci Rep 2015;5. doi:10.1038\/srep08526","DOI":"10.1038\/srep08526"},{"key":"2026072406100930000_19.7.e271620.10","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/S0094-1298(20)31044-0","article-title":"Current treatment of post-traumatic deformities. Residual orbital, adnexal, and soft-tissue abnormalities","volume":"24","author":"Spinelli","year":"1997","journal-title":"Clin Plast Surg"},{"key":"2026072406100930000_19.7.e271620.11","doi-asserted-by":"crossref","first-page":"e655","DOI":"10.1097\/SCS.0000000000005731","article-title":"Swinging Eyelid Approach to Zygomaticomaxillary Complex Fracture","volume":"30","author":"Miyazaki","year":"2019","journal-title":"J Craniofac Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-271620","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T13:10:22Z","timestamp":1784898622000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-271620"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":11,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,24]]},"published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1136\/bcr-2025-271620"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-271620","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}