Abstract

Zygomaticomaxillary complex (ZMC) bone fractures are traumas frequently encountered in the field of oral and maxillofacial surgery and traumatology, resulting from medium to high energy impacts in the middle third of the face. These fractures can cause aesthetic and functional deformities. Accurate diagnosis is fundamental for clinical management and is usually based on clinical and imaging tests, with computed tomography (CT) being the gold standard. This study aims to describe the kinetics and approaches of CZM trauma according to the literature. A search of recent literature was carried out using the PubMed and SciElo databases with the terms: "Zygomatic bone", "Maxillary bone" and "Bone fractures", covering articles from the last ten years, in Portuguese and English, and 15 articles were selected based on the established inclusion and exclusion criteria. The main etiologies of CZM trauma are traffic accidents, physical assaults, falls from a height and sporting activities, while the treatment of complications from this type of injury depends on the severity, location, age and presence of associated comorbidities. Treatment can range from observation and monitoring for non-displaced fractures to surgical procedures to realign the bone fragments in order to re-establish symmetry and functionality of the face and associated noble structures

Keywords

zygomatic bone, maxillary bone, bone fractures