Zygomatic arch fractures often occur as part of a zygoma fracture or Le Fort type III fractures of the maxillary. Isolated fractures of the zygomatic arch comprise around 10% of all zygoma fractures. The main etiologic factors are traffic accidents, falls, assaults, and sport accidents. Treatment may involve minimally invasive surgical procedures for slightly dislocated fractures or surgery with more extensive access for large dislocations of bone segments. This article reports the case of a 41-year-old male victim of physical aggression to the face with a steel sickle with an exposed, unstable fracture of the zygomatic arch. The patient underwent general anesthesia, and after the reduction of the fractures, the bone segments were fixed with 2.0-mm screws.
From the *School of Dentistry, Universidade de Pernambuco (UPE), Recife, Pernambuco; †Brazilian College of Oral-Maxillofacial Surgery and Traumatology; ‡Oswaldo Cruz University Hospital and §Hospital da Restauração, Recife, Pernambuco; and ∥School of Dentistry, University of São Paulo, São Paulo, Brazil.
Received December 3, 2010.
Accepted for publication January 30, 2011.
Address correspondence and reprint requests to Thiago de Santana Santos, DDS, MSc, Rua Deputado Euclides Paes Mendonça, 394, apt. 804, Treze de Julho, Aracaju-SE, 49020-000, Brazil; E-mail: firstname.lastname@example.org
The authors report no conflicts of interest.