Abstract
Background: Fracture of the zygomatic complex is one of the most common facial injuries in maxillofacial trauma.
Highlights
The zygomatic bone defines the anterior and lateral projection of the face and articulates with the frontal, sphenoid, temporal, and maxillary bones
A total of 23 patients (31%) allocated to nonsurgical treatment of zygomatic complex fractures responded to the 1year follow-up examination
None of the patients treated without surgical intervention needed secondary correction of the zygomatic complex or orbital floor
Summary
The zygomatic bone defines the anterior and lateral projection of the face and articulates with the frontal, sphenoid, temporal, and maxillary bones. The zygomatic complex is responsible for the protection of the orbital contents and the mid-facial contour. Fracture of the zygomatic complex is one of the most common facial injuries in maxillofacial trauma and predominately appears in young adult males [1 - 5]. The etiology of zygomatic complex fractures primarily. Includes road traffic accidents, violent assaults, falls and sports injuries [1 - 5]. There is geographic and sociodemographic variation in the epidemiology of maxillofacial fractures due to socioeconomic, cultural and environmental factors. The main clinical features of zygomatic complex fractures include diplopia, enophthalmos, subconjunctival ecchymosis, extraocular muscle entrapment, cosmetic deformity with depression of the malar eminence, facial widening, malocclusion and neurosensory disturbances of the infraorbital nerve [6]. Diagnosis of zygomatic complex fractures is usually clinical, with confirmation by computed tomography (CT) scan [6]
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