Management of fractures of the zygomaticomaxillary complex

Oral Maxillofac Surg Clin North Am. 2013 Nov;25(4):617-36. doi: 10.1016/j.coms.2013.07.011. Epub 2013 Sep 20.

Abstract

The zygomaticomaxillary complex (ZMC) has important aesthetic, structural, and functional roles that need to be preserved and/or restored during treatment of facial fractures. Surgical treatment of ZMC fractures is indicated when there is displacement of the bony fragments, and open reduction and internal fixation is the treatment of choice in cases of comminution or fracture instability. The surgical approaches used for fracture reduction as well as the type, number, and location of the fixation will be determined by the pattern of the fracture and the surgeon's preference. This article discusses the main points of the management of ZMC fractures.

Keywords: Complications; Fixation; Orbital floor fractures; Orbital fractures; Reduction; Surgery; Zygomatic fractures; Zygomaticomaxillary fractures.

Publication types

  • Review

MeSH terms

  • Diagnostic Imaging
  • Fracture Fixation, Internal / methods*
  • Humans
  • Imaging, Three-Dimensional
  • Internal Fixators
  • Maxillary Fractures / diagnosis
  • Maxillary Fractures / surgery*
  • Orbital Fractures / diagnosis
  • Orbital Fractures / surgery*
  • Zygoma / injuries*
  • Zygoma / surgery