Zygomaticomaxillary complex fracture

Case contributed by Dr Bruno Di Muzio

Presentation

Fall from bike while intoxicated.

Patient Data

Age: 24-year-old
CT

CT Face

Left zygomatic arch fractures: comminuted fracture of the arch, and minimally displaced fractures of the frontal process and orbital surface. Minimally displaced fractures along the anterior and posterior walls of the left maxillary sinus as well as the inferior orbital rim. No other fractures seen. Haematoma partially filling the left maxillary sinus. Surgical emphysema delineating the left masticator space. 

Case Discussion

Zygomaticomaxillary complex fracture is characterised by fractures involving:

  • zygomatic arch
  • inferior orbital rim, and anterior and posterior maxillary sinus walls
  • lateral orbital rim

In this case, the fracture involving the maxillary sinus walls are minimally displaced and not evident on the 3D volume rendering. 

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Case information

rID: 50064
Case created: 16th Dec 2016
Last edited: 19th Dec 2016
System: Head & Neck
Tag: rmh
Inclusion in quiz mode: Included

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