A Rare Fracture Pattern with Extensive Disruption of the Zygomatico-Orbito-Maxillary Complex

A case of an unusually oriented fracture pattern and significant disruption of the right Zygomatico-orbito-maxillary complex, with severe comminution and gross displacement of its skeletal components, is described. Wide surgical access to all the fracture sites was provided by a combination of hemicoronal and intraoral surgical approaches. This enabled successful reduction, precise reapproximation, and stable fixation of the multiple displaced fracture fragments. An excellent restoration of the skeletal morphology and orbital volume to their original, preinjury status was achieved, obviating the development of any residual facial deformity, functional deficit or ocular complications.