Abstract: Objective To investigate the clinical application and effect of facial small incision combined with intraoral incision in the treatment of zygomatic complex fracture. Methods A retrospective study was performed on 15 cases of zygomatic complex fractures. They were operated through facial small incision and intraoral incision in our oral and maxillofacial surgery of our hospital. Results 15 cases did not appear related complications postoperatively， and all patients were followed up for 12 months. They had facial symmetry， the normal opening degree， the normal ocular movement and no diplopia. Conclusion The facial small incision and intraoral incision have hidden location. They can get the accurate and reliable fixation and the satisfactory results in the reduction for noncomminuted or nonold zygomatic complex fractures.

Key words: facial small incision, intraoral incision, zygomatic complex fracture