Back ground: Despite the prevalence of zygomaticomaxillary complex (ZMC) fractures, there is no consensus regarding the best approach to management. The aim of this review is to discuss the evolution and compare the efficiecy of various fixation methods of zygomatico maxillary complex fractures. Objective: To discuss the evolution and compare the efficiecy of various fixation methods of zygomatico maxillary complex fractures. Data Sources: A detailed search was undertaken on major electronic databases. The search was restricted to English language. Review Methods: Randomised controlled trials, experimental studies were included in the review. Conclusions: This narrative review concluded that there was enough evidence to suggest that patients may benefit from rigid and semirigid internal fixation using miniplates in zygomatico maxillary complex fractures