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Optimizing Outcomes in Zygomaticomaxillary Complex Fractures.
William M Swift1, Travis T Tollefson2
1Department of Otolaryngology-Head & Neck Surgery, UC Davis, Sacramento, CA, USA.
Facial Plastic Surgery Clinics of North America
|June 28, 2025
Summary
Managing zygomaticomaxillary complex (ZMC) fractures needs careful evaluation. Advanced technologies like virtual surgical planning and navigation can improve treatment precision and patient outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Medical Technology
Background:
- Zygomaticomaxillary complex (ZMC) fractures present unique management challenges.
- Accurate assessment of functional, aesthetic, and visual impacts is crucial.
- The complex three-dimensional anatomy and limited exposure hinder precise reduction.
Purpose of the Study:
- To review the current approaches to managing ZMC fractures.
- To highlight the challenges in achieving precise reduction.
- To explore the role of emerging technologies in improving ZMC fracture management.
Main Methods:
- Review of literature on ZMC fracture management.
- Discussion of anatomical considerations and surgical challenges.
- Analysis of technological advancements including virtual surgical planning, navigation, and intraoperative computed tomography.
Main Results:
- Precise reduction of ZMC fractures is often difficult due to anatomical complexity.
- Virtual surgical planning, navigation, and intraoperative CT offer potential for enhanced precision.
- These technologies may help minimize morbidity associated with ZMC fracture repair.
Conclusions:
- Effective ZMC fracture management requires a comprehensive approach.
- Technological innovations are vital for improving the accuracy and outcomes of ZMC fracture repair.
- Future developments in navigation and augmented reality are expected to further refine anatomic reduction confirmation.

