Abstract: Objective To explore effective methods for zygomatic complex fracture as well as its complications. Methods Semi coronal incisions combined with vestibular groove incisions were applied in 46 patients to expose the infraorbital margin, suturae zygomaticofrontalis, suturae zygomaticotemporalis, zygomatic alveolar ridge. Strong internal fixation was applied in suturae zygomaticofrontalis, suturae zygomaticotemporalis, zygomatic alveolar ridge after resetting. The patients were followed up for 1~30 months and the effects and complications of the treatment were evaluated. Results All patients acquired satisfactory outcome with ideal facial figure and mouth opening, no serious complications occurred. Conclusions Semi coranal incisions combined with vestibular groove incisions can fully expose all fractured sites, and 3-site rigid fixation can effectively resume the 3-dimension structure of face, which can avoid the complications through inferior palpebral margin incision.

Key words: zygomatic zomplex fracture, coronal incision, vestibular groove incision, complication