This study was carried out at Dental institute, Rajendra Institute of Medical Sciences (RIMS), Ranchi. Isolated zygomatic bone fracture with minimal displacement can be managed with closed reduction without fixation ( 3). Various treatment plan has been modulated for zygomaticomaxillary complex fracture depending on the degree of displacement of the zygomatic bone which ranges from simple conservative management to open reduction and multiple point of exposure and fixation ( 3). Radiological evaluation such as computerized tomography scan with reconstruction, occipitomental view, submentovertex view clearly detects the fracture and its displacement. Epidemiology of maxillofacial fracture varies between populations, particularly with regard to the incidence, demographic distribution of the fractures, aetiology and types vary due to environmental, socioeconomic, cultural and lifestyle differences ( 2).
These fracture are the second most fracture of the face after nasal injuries ( 1). Zygomatic fracture is traditionally referred as “tripod” but actually it involves disruption at four sites depending on the impact and severity: lateral orbital rim, inferior orbital rim, zygomaticomaxillary buttress and the zygomatic arch. Fracture pattern ranges from simple to comminuted and from minimally to severely displaced depending on the nature and impact of the injury. Moderate to severly displaced zygomatic fracture can significantly alter the structure, function, and appearance of midface.
Zygomatic fracture is one of the most common and frequent among the maxillofacial trauma, due to its prominence which predisposes it to bear the brunt of facial injuries.
Zygoma is a strong buttress of the lateral portion of middle third of facial skeleton and it significantly contribute to the strength and stability of mid face.
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