The treatment of tetrapod zygomatic fractures is generally preceded by open reduction and fixation by means of supraorbital eyebrow and infraorbital incisions. However, fixation of the infraorbital rim does not produce adequate stability of the fractured zygoma owing to the thinness of this bone. We used open reduction and fixation via a supraorbital eyebrow incision and an intraoral approach in three cases of zygomatic fracture. The advantage of this intraoral approach is that it allows reduction under direct vision and provides sufficient stability after mini-plate fixation. Consequently, satisfactory results were obtained.
