Treatment of an Old Zygomaticomaxillary Complex Fracture in a 9-Year-Old Child: A Case Report

The zygomaticomaxillary complex (ZMC)refers to a main buttress in the skeleton of the midface. When open reduction and rigid fixation is selected as the treatment of choice for a ZMC fracture in pediatric patients, several factors such as immature dentition and growth potential of patient should be taken into account. This case report describes treatment of an old ZMC fracture in a 9-year-old child.   

A 9-year-old child was referred due to left ZMC fracture and orbital floor fracture with severe displacement. Open reduction and internal fixation of the ZMC fracture was performed using titanium plates. The orbital floor was reconstructed with a titanium mesh and the maxillary buttress fracture was reconstructed with an iliac crest bone graft. After surgery, the patient had an appropriate recovery and showed stable results.

In a ZMC fracture with considerable displacement and an orbital floor fracture in children, 3-point fixation with titanium plate and reconstruction of the orbital floor are recommended.