Introduction:

Due to its prominent convexity, the zygomaticomaxillary complex is very vulnerable to injuries.

Objective:

Address current notions about the diagnosis, classification, treatment and complications of fractures of the zygomatic complex.

Methods:

A literature review was conducted in September 2016. The evaluation included high impact journals from the Web of Science (29 journals) and 2 books. The databases MEDLINE, PubMed and SciELO were consulted, using the search terms "zygomatic fracture", "treatment", "epidemiology". Papers written in English were included, preferably from the last five years. Of the 109 papers obtained, the study considered 41.

Data analysis and integration:

Appropriate diagnosis based on clinical findings and the use of diagnostic aids allows classification of the fracture. The classification most commonly used in our environment is that of the Dental Practice Guidelines. Therapy modes may include surgery with fixation methods allowing greater or lesser stability. Complications may appear.

Conclusions:

The anatomical protrusion of malar bones accounts for the incidence of these fractures. Diagnosis should be based on interrogation, physical examination and the use of auxiliary diagnostic imaging. Waters radiography is a good imaging option. Upon classification of the fracture, a treatment plan is devised based on individual assessment of each case so as to prevent future complications.

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