Upper Blepharoplasty and Lateral Brow Approaches for Zygomaticomaxillary Complex Fractures.

Management of zygomaticomaxillary complex (ZMC) fractures is founded in adequate assessment of reduction in at least 3 of the 4 points of articulation comprised of the following suture lines: zygomaticomaxillary, zygomaticotemporal, zygomaticofrontal (ZF), and zygomaticosphenoid (ZS). Access to the ZF is afforded by both upper blepharoplasty and lateral brow approaches. However, the upper blepharoplasty approach provides access additionally to the ZS and wider exposure of the ZF/lateral orbital rim. Assessment of reduction of a ZMC fracture at the ZF and ZS provides anterior-posterior and rotational insight into the zygoma's 3-dimensional position.