Fractures of the zygomatic complex are among the most common injuries to the facial skeleton. Numerous therapeutic approaches for addressing these fractures have been documented in the scientific literature. To assess the frequency, patterns of injury, associated complications, and therapeutic approaches for zygomatic complex fractures at a single center. Information on 100 individuals with zygomatic complex fractures was gathered retrospectively. Details, including causation, fracture location, classification, concomitant injuries, clinical presentation, management via conservative or operative means, incision types employed, quantity of fixation points used, and any complications arising, were examined and evaluated. Interpersonal violence emerged as the leading cause of zygomatic complex fractures, impacting patients in the 20–40 and over 60 years age brackets with equal frequency. Non-displaced fractures were successfully managed with conservative measures. When operative intervention was indicated, fixation protocols varied, using one-, two-, or three-point fixation based on fracture displacement and severity. Significantly, our findings revealed that variables such as age, sex, or injury mechanism did not have a marked effect on the incidence of paraesthesia either before or after treatment. Ultimately, treatment selection should be tailored to the unique fracture configuration and the patient’s individual needs to achieve the best possible results.
