title: Evidence-Based Medicine: Evaluation and Treatment of Zygoma Fractures.
abstract: OBJECTIVE
  After studying this article, the participant should be able to: 1. Diagnose zygomaticomaxillary complex fractures from physical examination and radiographic findings. 2. Plan the necessary surgical approaches for operative treatment of zygomaticomaxillary complex fractures depending on severity. 3. Understand the three-dimensional anatomy of the orbit and zygomaticomaxillary complex and the importance of the zygomaticosphenoid suture along the lateral orbital sidewall. 4. Be aware of pitfalls and associated fractures that can complicate anatomical reduction of zygomaticomaxillary complex fractures.
  
  
  CONCLUSIONS
  Fractures of the zygoma are some of the most commonly treated facial fractures, yet reconstruction of the three-dimensional structure of the zygomaticomaxillary complex can be challenging, and malunions are common. This article presents an evidence-based, systemic approach to the assessment and treatment of zygoma fractures from the simple to the complex. Anatomy, approaches, techniques, and pitfalls are described in an effort to improve the treatment of these common facial fractures.
authors.affiliation: Seattle, Wash.|From the University of Washington, Harborview Medical Center, and Seattle Children's Hospital.
authors.forename: Craig B
authors.initials: CB
authors.lastname: Birgfeld
authors.affiliation: Seattle, Wash.|From the University of Washington, Harborview Medical Center, and Seattle Children's Hospital.
authors.forename: Gerhard S
authors.initials: GS
authors.lastname: Mundinger
authors.affiliation: Seattle, Wash.|From the University of Washington, Harborview Medical Center, and Seattle Children's Hospital.
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Gruss
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019317:Evidence-Based Medicine; D005592:Fracture Fixation; D006801:Humans; D012887:Skull Fractures / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D015050:Zygoma / Q000033:anatomy & histology / Q000293:injuries*
chemical_list: D000900:Anti-Bacterial Agents