Abstract
Zygomaticomaxillary complex fractures are frequently encountered among midface fractures.
Anatomy: The maxilla and zygoma are composed of vertical and horizontal buttresses.
Examinations: For midface fractures, evaluations of head injury, visual function, cervical vertebrae, and ear and nose should be prioritized or performed in parallel. CT is the gold standard for imaging diagnosis of midface fractures.
Approaches: Midface fractures often require a skin incision.
Reduction: Reduction is categorized into closed reduction and open reduction.
Fixation: Fixation means reconstructing the buttress and making it immobile.
Pitfalls: Shortening of facial projection due to posterior deviation of the zygomatic body, changes in orbital volume due to rotation of the zygomatic body, and especially expansion of orbital volume due to external rotation of the zygomatic body are often overlooked.
