{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:31:54Z","timestamp":1787776314693,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A 31-year-old male with a history of right zygomaticomaxillary complex (ZMC) fracture presented with aesthetic concerns, continuous tearing, and double vision. The patient had undergone multiple surgeries post accident, resulting in an asymmetrical cheek bulge, persistent diplopia, and epiphora. Investigations revealed abnormal placement of an orbital mesh and damage to the lacrimal sac. A surgical plan was devised to remove the plates, reposition the muscles, secure the floor, correct the epiphora, and provide the desired aesthetics. The surgery involved removal of the mesh and a long plate, refracturing of the zygoma, approximation and securing of the fractured zygoma with plates, and creation of an osteum on the lateral wall of the nose. Post-operatively, the patient\u2019s healing was uneventful and he was satisfied with the outcome. This case underscores the importance of a proper surgical technique and patient-centered care in managing complex facial fractures.<\/jats:p>","DOI":"10.4103\/ijdr.ijdr_163_24","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T10:01:42Z","timestamp":1728036102000},"page":"245-248","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Management of Persistent Diplopia and Epiphora in Mismanaged Orbital Blowout Fracture \u2013 A Case Report"],"prefix":"10.4103","volume":"35","author":[{"given":"S. M.","family":"Balaji","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Teynampet, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preetha","family":"Balaji","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Teynampet, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,9,27]]},"reference":[{"key":"R1-20241009","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.ijscr.2019.07.055","article-title":"Neglected orbitozygomaticomaxillary fractures with complications:A case report","volume":"62","author":"Isya","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"R2-20241009","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1177\/19433875221135932","article-title":"Retrospective study of orbital and orbitozygomaticomaxillary complex fractures treated at Aalesund hospital between 2002 and 2017","volume":"16","author":"Lein","year":"2023","journal-title":"Craniomaxillofac Trauma Reconstr"},{"key":"R3-20241009","doi-asserted-by":"crossref","first-page":"337","DOI":"10.4103\/ijdr.IJDR_437_19","article-title":"Epiphora drainage by DCR-Long-term results","volume":"30","author":"Balaji","year":"2019","journal-title":"Indian J Dent Res"},{"key":"R4-20241009","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.bjoms.2018.02.009","article-title":"Ophthalmological injuries associated with fractures of the orbitozygomaticomaxillary complex","volume":"56","author":"Johnson","year":"2018","journal-title":"Br J Oral Maxillofac Surg"},{"key":"R5-20241009","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1097\/SCS.0b013e3181a2d728","article-title":"Porous polyethylene implants in orbital blow-out fractures and enophthalmos reconstruction","volume":"20","author":"Xu","year":"2009","journal-title":"J Craniofac Surg"},{"key":"R6-20241009","doi-asserted-by":"crossref","first-page":"129","DOI":"10.4103\/ams.ams_45_19","article-title":"Surgical correction of diplopia in orbital fracture:Influence of material and design","volume":"9","author":"Balaji","year":"2019","journal-title":"Ann Maxillofac Surg"},{"key":"R7-20241009","doi-asserted-by":"crossref","first-page":"98","DOI":"10.4103\/ijdr.ijdr_152_23","article-title":"\u201cFrozen eye\u201d-Post blowout fracture surgical correction-A case report","volume":"34","author":"Balaji","year":"2023","journal-title":"Indian J Dent Res"},{"key":"R8-20241009","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.jormas.2019.02.018","article-title":"Muscle entrapment in orbito-zygomatico-maxillary complex fracture","volume":"120","author":"Bouaoud","year":"2019","journal-title":"J Stomatol Oral Maxillofac Surg"},{"key":"R9-20241009","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1186\/s12903-023-03249-8","article-title":"Zygomaticomaxillary complex fractures:Finding the least complicated surgical approach (A Randomized Clinical Trial)","volume":"23","author":"Melek","year":"2023","journal-title":"BMC Oral Health"}],"container-title":["Indian Journal of Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijdr.ijdr_163_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:06:36Z","timestamp":1787774796000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijdr.ijdr_163_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijdr.ijdr_163_24","relation":{},"ISSN":["0970-9290","1998-3603"],"issn-type":[{"value":"0970-9290","type":"print"},{"value":"1998-3603","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]},"assertion":[{"value":"2024-02-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}