As zygomaticomaxillary complex fracture is the second most common fracture of the midface, its management is always challenging.
Current management of zygomaticomaxillary complex fractures: A Multidisciplinary survey and review of literature.Craniomaxillofac Trauma Reconstruction 2016; 9: 313-22
Three dimensional computed tomography showed malunited right frontal bone, orbital blow out and zygomaticomaxillary complex
Various specialties including plastic surgery, otolaryngology and maxillofacial surgery deal with this kind of fracture and differ in their approach towards reduction and fixation of the processes of the zygomatic bone.12 The malar eminence is the most prominent portion of the zygomaticomaxillary complex (ZMC) and is located approximately 2 cm inferior to the lateral canthus.
Coronal approach to zygomaticomaxillary complex fractures.
Amongst the fractures of face, zygomatic bone fracture is the most common fracture that forms the most anterolateral projection on either side of the middle face.10 25% of all facial fractures account for ZMC (zygomaticomaxillary complex) fractures mostly resulting from industrial accidents, sports injuries, and interpersonal voilance.11 The available demographic data for ZMC fractures differs in regional, economic and social differences mostly affecting males in their twenties.12 One of the major functional complication resulting from zygomatic bone fracture is limited mouth opening.
Management of fractures of the zygomaticomaxillary complex. Oral Maxillofacial Surg Clin N Am 2013; 25(4):617-36.
A recent retrospective study conducted in Korea showed that the most frequently fractured bone was the nasal bone, accounting for 42.5%, followed by the orbit, zygoma, mandible, maxilla, frontal bone and injuries of NOE complex.9 Another retrospective study conducted in India showed the most commonly associated fracture was that of zygomaticomaxillary complex, followed by Le Fort type fractures10.
One of the most common midfacial fractures is fracture of the zygomaticomaxillary complex. Some clinicians favor minimal exposure of the fracture site, whereas others advocate open reduction and fixation.
Etiology and management of zygomaticomaxillary complex
fractures in Armed Forces.