A Prospective Study of Treatment of Zygomatic Bone Fractures in PMCH Patna

Background: The aim of this study was to evaluate treatment of zygomatic bone fractures without other facial fractures. Material and Methods: A prospective study involving 80 patients admitted at Patna Medical College and Hospital, Patna from August 2024 to July 2025 and treated for zygomatic bone and zygomatic arch fractures at was done. The data collection protocol included: age, gender, site, type of fracture, clinical diagnosis, radiographic findings as well as imaging for evaluation of the fracture. Results: The ages of the patients ranged from 18 to 55 years old. 60 (75%) of the patients were males and 20 (25%) were females. According to the site of fracture, the patients were divided into three groups: group A, with zygomatic bone fracture, group B with zygomatic arch fracture and group C with co-existing zygomatic bone and zygomatic arch fracture. Regarding the site of fracture 58% of the patients had fractures of zygomatic bone, 12% had fractures of zygomatic arch and 30% had fractures of both zygomatic bone and zygomatic arch The treatment of fractures was: closed reduction for isolated zygomatic arch fractures; open reduction and internal rigid fixation in comminuted arch fractures and displaced fractures. Conclusion: Road traffic accidents were leading cause of fractures. Majority of patients were young adult. According to site of fracture various modalities of treatment were used and all patients achieved satisfactory results without any complications.

Keywords: Zygomatic bone fracture, Facial trauma, Maxillofacial surgery, Zygomatic complex fracture, Open reduction and internal fixation, Prospective stud.