Zygomaticomaxillary (tripod) fracture

Background

  • 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

Diagnosis

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

Disposition

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

See Also