The anatomy of the zygomaticomaxillary complex on our face comprises of various different bones. The zygomaticomaxillary arch or the zygomaticomaxillary complex is made up of the floor of the orbit, the rim of the orbit, orbital wall, lateral wall of the maxillary sinus, zygomatic arch and the anterior wall of the maxillary sinus. The fractures of the zygomatic arch, therefore, are very challenging for the surgeons because the individual bones of the zygomaticomaxillary arch can fracture in different combinations. The zygomaticomaxillary arch fractures are also known as quadripod fractures. The zygomaticomaxillary arch plays a very crucial part in giving shape to the middle part of the facial structure. The zygomaticomaxillary complex is roughly quadrangular in shape. The zygomaticomaxillary arch provides support to the malar eminence.

Because of its location, any trauma to the zygomaticomaxillary arch mostly causes multiple fractures. Fractures of the zygomaticomaxillary arch are quite common and are second only to the fractures of the nose in occurence. Much like other facial fractures, the fractures of the zygomaticomaxillary arch are mostly due to automobile mishaps followed by cases of direct blow to the malar area of the cheek. In children also the cases of fracture of zygomaticomaxillary arch fractures are common which mostly happens due to sports injuries. Treatment of zygomaticomaxillary arch is quite complicated because several fractures occur simultaneously in zygomaticomaxillary arch.

Signs and symptoms of the fracture of the zygomaticomaxillary arch:-

One of the most common symptoms of zygomaticomaxillary arch fractures is change in the shape of the mid face area. Because of the force on the zygomaticomaxillary arch, the side of face may look sunken in or depressed. Same is true for the lower orbit as well. Because of the fracture of the arch, the patient may suffer from pain in opening his mouth which is condition known as trismus. In many cases of the fractures of the zygomaticomaxillary arch the extent of the injury remains concealed due to large amount of swelling on the face. The patient may not be able to notice the fractured zygomaticomaxillary arch as the swelling and the tenderness remains on the face for weeks. Apart from these symptoms, pain in the face and bruising are very common symptoms as well.

Treatment of the zygomaticomaxillary arch fractures:-

Due to the nature of zygomaticomaxillary arch fractures, the best thing to do when you have suffered trauma to your face is to consult the best facial surgeon immediately. The treatment of the fractures of the zygomaticomaxillary arch will depend upon the bones which are broken and the extent to which the fractured bones are displaced. If the fracture of the zygomaticomaxillary arch is not very severe, then treatment may not mandate surgery. The patient will be advised to take precautions as per the treatment plan which may also include pain medication and dietary restrictions. As part of the treatment of the zygomatic arch fracture, the patient is advised to take complete rest so as to accelerate healing of the fractured zygomatic arch.

Very complex fractures of the zygomaticomaxillary arch are repaired by surgery. The treatment of fractured bones of the zygomaticomaxillary arch is done by using fixation plates and screws which keep the re- aligned bones in place. After the treatment of zygomaticomaxillary arch fractures, theses plates may be left in place or may be removed. The treatment is performed differently if along with the fractures of the zygomatic arch, the orbital area, the nasal area and the skull has also sustained injuries.

Zygomatic arch fractures need the best treatment as soon as possible. In India, mostly all the top hospitals approach treatment of fractures of the zygomatic arch as a functional and cosmetic issue. Therefore, the best person to perform the treatment for zygomatic arch fractures is a maxillofacial surgeon. Mostly all top surgeons take a similar approach for the treatment of the zygomatic arch fractures. The patient is first stabilized and then the extent of fractures of the zygomatic arch is assessed. In some extreme cases of the zygomatic arch fractures, the skull may need to be reconstructed which is done by facial plastic surgeons in India.

Reconstructive treatments and surgeries are synonymous with Dr. Debraj Shome in Mumbai. In Mumbai, The Esthetic Clinics provide the best treatment for cosmetic and reconstructive issues. Dr. Shome is also a maxillofacial surgeon based in Mumbai who has vast knowledge about the complicated nature of the fractures of the zygomatic arch. He understands the topmost requirements of his patients who come to Mumbai for treatment from all over India. Post- treatment, patients of zygomatic arch fractures want the best cosmetic outcomes also. Dr. Shome has done fracture repairs with unbelievable cosmetic results on patients from all over India. Patients who take treatment from him in Mumbai feel extremely grateful towards Dr. Shome for changing their lives. Dr. Shome believes that all people of India should get the top facilities without spending a lot of money. According to him if foreigners now come to India to get different treatments in cities like Mumbai, then the citizens of India should also get the top infrastructure. He converted his efforts in to reality by co- founding The Esthetic Clinics in Mumbai, India where he provides a range of cosmetic treatments. He is famous in Mumbai for being one of the best surgeons to provide cosmetic and facial plastic treatments at his clinics in Mumbai itself. Dr. Shome and his ideologies have led India to make tremendous progress in reconstructive and facial plastic surgery. India is now much sought after destination for quality treatments. All the patients of Dr. Shome who have been treated by him in Mumbai are fully satisfied with treatments and their testimonials are the proof for the same. In Mumbai, The Esthetic Clinics are up to date with the latest in medical technology. You just have to come to Mumbai for any surgical or non- surgical treatment which might not even be available in other clinics in India.

 Dr. Shome believes that reconstructive treatments have the power to change lives and he wants India to understand the impact that cosmetic and facial plastic medicine can have on the people. At The Esthetic Clinics in Mumbai, his expertise has led to a steady rise in the number of patients from all over India and abroad. Nothing is impossible at his clinics in Mumbai and if you want the top cosmetic treatment in India come to Mumbai to the clinics of the best facial plastic and cosmetic surgeon of India who is none other than Dr. Shome.


About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

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