الفهرس 
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Abstract
This study was conducted on 20 patients with unilateral ZMC fracture to
evaluate clinically, radiographically the validity of using two-point fixation
technique in the management of zygomaticomaxillary complex fractures by using
the zygomatic buttress as a key point of fixation and either the infraorbital rim or
the frontozygomatic suture area as a second point of fixation. Radiographic
assessment of the CT scans was done by measuring the malar width, malar
projection, and malar height in the fracture side and in the normal side both
preoperatively and postoperatively after 1 week and after 1 month. Asymmetry
index comparing the normal side with the fracture side was measured both
preoperatively and postoperatively to determine the accuracy and validity of the
2-Point Fixation technique in stabilizing the reduced ZMC fractures. Esthetical
and functional clinical findings were recorded and evaluated both preoperatively
and postoperatively after 1-week and 1-month to prove the reliability of this
technique in management of ZMC fractures.
Conclusion
1- ZMC is a key component to facial form and function, as it contributes
to orbital volume, facial width, and malar prominence. Adequate
diagnosis and treatment can readily restore facial and orbital harmony,
but at the same time, inadequate treatment can leave the patient with
severe deformities that are difficult to correct secondarily.
2- Stable fixation result and adequate esthetic outcome can be obtained by
using 2-point fixation technique in non-comminuted ZMC fractures.
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3- The zygomatic buttress as a key point of fixation through intra oral
access have the best esthetic and functional outcome.
4- When the orbital floor needs reconstruction, Infraorbital rim used as the
second point of fixation, otherwise the frontozygomatic suture area can
be used as a second point of fixation.
Recommendations
1- Adequate diagnosis and treatment planning using radiographic analysis and
STL model surgery reduced time of surgery and points of fixation required.
2- Two-point fixation technique was reliable method in management of ZMC
fractures and should be used when indicated.
3- Studies included a greater number of patients and longer follow up periods
with quantitative analysis of postoperative symmetry are recommended.