Successful Minimally Invasive Management of a Group I Zygomatic Fracture: A Case Report

Zygomatic fractures are among the most common types of maxillofacial trauma, typically resulting from direct facial trauma such as assaults, motor vehicle accidents, and falls. These fractures predominantly affect adult males, with the most common sites being the zygomatic arch, infraorbital rim, and zygomatico-frontal suture. The diagnosis of zygomatic fractures generally involves both clinical examination and advanced imaging techniques, with multidetector CT (MDCT) being the gold standard for assessing the extent of the fracture and displacement. The Knight and North classification system is widely used to categorize these fractures based on their severity, guiding treatment decisions. This case report describes the management of a 58-year-old male patient who presented with a left zygomatic fracture following an assault. The patient exhibited typical symptoms, including left infraorbital pain, red eye, lacrimation, and periorbital oedema. A preoperative ophthalmic consultation revealed no visual impairment. MDCT confirmed a Group I zygomatic fracture according to the Knight and North classification, with minimal displacement. Under general anesthesia, fracture reduction was achieved via an infraorbital approach using a surgical hook, followed by stabilization with an L-shaped titanium miniplate. The patient experienced an uneventful postoperative recovery, with no signs of complications, malunion, or recurrence during a six-month follow-up period.