Zygomaticomaxillary (tripod) fracture

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  • Must distinguish Zygomatic Arch Fracture from Zygomaticomaxillary (Tripod) Fracture
    • Tripod fx = fx of zygomatic arch, lat and inf orbital rims, lat wall of maxillary sinus


  1. Fx through:
    1. inferior orbital rim
    2. lateral orbital wall
    3. zygomatic arch
  2. Must r/o associated ocular injuries
  3. Usually requires admission and surgical repair

Differential Diagnosis

Maxillofacial Trauma


  • Loss of vision or displacement: admit for IV abx and surg

See Also