Facial Plast Surg 2015; 31(04): 368-375
DOI: 10.1055/s-0035-1562885
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Zygomatic Fractures: Bone and Arch

Ralph Litschel
1  Department of Otorhinolaryngology—Head and Neck Surgery, Cantonal Hospital, St. Gallen, Switzerland
Gustavo A. Suárez
2  Department of Otolaryngology—Head and Neck Surgery, Bellvitge University Hospital, Barcelona, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
15 September 2015 (online)


Zygomatic bone and arch fractures are among the most common facial fractures treated by facial plastic surgeons. Controversy still remains regarding the optimal management of these fractures. Computed tomographic scanning (including three-dimensional reconstruction) represent a fundamental tool for diagnosis and treatment planning of zygomatic fractures. Main indications for treatment are functional impairment, cosmetic deformity, or both. Fracture reduction can be performed through an open or closed approach depending on the amount of exposure necessary to achieve accurate reduction. The common goal among all treatment plans is the exact three-dimensional restoration of the disturbed anatomy and function while minimizing complications.