ZMC, also known as zygomaticomaxillary complex has a very fundamental role in the functioning, appearance and they take up almost half of the mid face fractures. ZMC is also recognized by the name of tripod, tetrapod and by many different names such as malar fracture, trimalar fracture or quadripod fracture. Tripod is very frequent and among the most common facial fractures.  The main cause of these fractures are many, including accidents, falls, sports injury, missile injury, mishap, fight, traffic accidents etc. As per the reports, traffic and road accidents have proven to be the major reason for these kinds of injuries, although the numero uno reason varies from one place to another.

Being the second most common facial bone fracture, first being the nasal injury, this fracture leads to three separate fracture elements that disturb the anchoring of the zygomatic parts. Apart from this, the fractured components lead to impingement of the temporalis muscles, resulting in trismus, that gives difficulty in chewing food and also leads to problems in the nerves leading to hypesthesia.  A tripod facture calls for a proper and complete diagnosis before a treatment decision is made. It requires to be treated properly by the facial plastic surgeons, only.

Treating a Tripod facture is one of the most challenging tasks for the surgeons, as it may demand reconstruction and complete makeover in some cases. On the other hand, surgeons prefer not to go for surgical operations unless there is an urgent need or aesthetic impairment that makes surgery necessary, like any form of reduced mouth opening or any kind of depression of the cheek. Even though most of the surgical operations are similar and safe, there are few techniques that are very different and they have their own drawbacks.

Fractures of the zygomatic complex seem usual in young adults. Common features of zygomatic fractures comprise of:

  • Diplopia
  • Subconjunctival ecchymosis
  • Enophthalmos
  • Cheek flattening
  • Suppressing the block
  • Sensory disturbances etc.

The process of diagnosis for the complex fractures is typically high tech and clinical that is accompanied with radio graphical process. Most of the studies regarding zygomatic fractures prove that fractures are connected with different maxillofacial injuries.

Facial bones are made up of a vivid network of fragile bones that are fused together across junctions. The main management process of this facial mishap is to perform surgery as soon as possible by an expert surgeon as clinical circumstances may arise due to special prominence on the aesthetics as well as the function. Research has proven that the internal treatment and fixation of the fracture offers reduction in reoccurrence of such kind of injuries. One of the best techniques is the surgical operation that can lead to proper bone alignment, as seen in the CT scans that are conducted pre and post the operation.  The facial symmetry needs proper surgical operation that needs revision and it mostly occurs in a handful of patients. The rates that are charged after the operation is conducted is very low as compared to the charges that are taken for the actual surgery as the infections get resolved gradually with the antibiotics that are given to the patients. In general terms, the enduring prognosis that is carried out after the repair of ZMC fracture is quite good.

Various precautions should be taken after the tripod fracture surgery is completed. The patient is advised to take proper care after the operation is done. The patient is advised to take some important measures after the surgery is completed. The person is asked to be on complete liquid diet as the facial arrangements and structure of bones can get affected by eating something hard and by trismus.

As per the current statistics regarding the number of tripod fractures, road accidents have come out as one of the major reasons for most zygomatic complex fractures. As we know the use of seatbelts is very important in the country and in all the developed nations, there has been a noteworthy decrease in the number of facial injuries. However, use of seat belts is still not happening in India. According to the Motor Vehicle act, the utilization of seatbelts and helmets is very important, but their usage isn’t 100% yet. It is important to make people aware about the use of crash helmet, headgears as well as seatbelts while they travel in any motorized transport. This will eventually prevent injuries to the facial region.

When looking for good options to deal with zygomatic complex fractures, Dr. Debraj Shome, a leading cosmetic surgeon in Mumbai, is among the best surgeons we have in the world for carrying out cosmetic surgeries. When it comes to tripod fracture, you can always consult him even if it is an emergency. With reasonable charges and best practices involved, he is best in providing solutions to all the troubles. Treatment of tripod fracture needs proper and special care that needs to be taken good care of. With Dr. Debraj’s consultancy, you can get best of both.


About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

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