Trauma Series, Midface: Lefort, ZMC, and Orbit (with Drs. Andrew Jenzer and Greg Tentindo) Artwork

Everyday Oral Surgery

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Everyday Oral Surgery

Trauma Series, Midface: Lefort, ZMC, and Orbit (with Drs. Andrew Jenzer and Greg Tentindo)

May 18, 2026 • Grant Stucki - oral and maxillofacial surgeon • Episode 364

0:00 | 1:24:22

How do you build a practical framework for managing some of the most complex fractures in facial trauma? In this episode of Everyday Oral Surgery, host Dr. Grant Stucki is joined by Dr. Andrew Jenzer and Dr. Greg Tentindo for part three of the trauma series, with a focused discussion on midface injuries, LeFort fractures, zygomaticomaxillary complex (ZMC) fractures, and orbital trauma, and practical teachings to build a stronger foundation for evaluating and treating these injuries. Grant, Andrew, and Greg walk through how to recognize common fracture patterns, how to think through classification systems without getting stuck in them, and how to approach surgical decision-making in cases that rarely follow textbook scenarios. They delve into orbital anatomy, key terminology, treatment timing, reconstruction strategies, and postoperative complications. They also unpack what materials, plates, templates, and custom planning options can be used for orbital floor reconstruction. Tune in to learn about midface trauma, sharpen your surgical reasoning, and pick up practical tips you can apply in training and in practice with Drs. Andrew Jenzer and Greg Tentindo.

Key Points From This Episode:

How Dr. Tentindo’s trauma and fellowship background shaped his approach to trauma cases.
Learn what a LeFort fracture is and how to think through LeFort I, II, and III injuries in practice.
Find out what clinical signs can help diagnose Lefort fractures and assess their severity.
Dr. Tentindo breaks down surgical tips on how to treat LeFort fractures effectively.
Unpack ZMC fractures and why they should be understood as tetrapod injuries.
What classification systems Greg uses to categorize ZMC fractures, and why that matters.
Hear what physical exam findings can help identify a significantly displaced ZMC fracture.
Explore how to approach exposure, reduction, and fixation in a standard ZMC repair.
Gain insights into isolated arch fractures and the best ways to reduce them.
Key fissures, nerves, syndromes, measurements, and terms surgeons need to know.
Steps to distinguish between orbital compartment syndrome, entrapment, and incarceration.
The best method for orbital fractures and why reevaluation after swelling improves is vital.
Why their approaches to orbital fractures have become more conservative over time.
Understand why patient-specific findings matter more than fracture size alone.
What complications can arise after orbital fracture repair, and why eyelid malposition can be challenging to treat.

Links Mentioned in Today’s Episode:

Dr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzer

Dr. Andrew Jenze Email — andrew.jenzer@gmail.com

Duke University — https://surgery.duke.edu/

Dr. Greg Tentindo — https://ofsinstitute.com/greg-tentindo/

Dr. Greg Tentindo Email — gtentindo@gmail.com

Oral Facial Surgery Institute — https://ofsinstitute.com/

The St. Louis Oral & Maxillofacial Surgery Review course — https://stlomfsreview.com/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059