Background: The Zygomatico maxillary complex fractures (ZMC) are commonly encountered in the practice of the maxillofacial surgeon. Perfect management of the fracture is absolutely essential as the revision surgeries are tedious. Surgical management of ZMC is done at two or three points depending on the clinical displacement. Aims and Objectives: Zygomatico maxillary complex is the second most common fractures next to nasal bone fracture in the face worldwide. ZMC fractures are frequently seen and they were managed in great volumes throughout the country. The aim of our study is to prove the surgical outcomes of two-point fixation in the management of ZMC fractures. Materials and Methods: The inpatient records follow up records, radiographic records and photographs of 55 patients who underwent management of ZMC with two point fixations (one at zygomatic buttress and one at the fronto zygomatic region) were retrieved and analysed for the surgical outcomes. The evaluation was done preoperatively and postoperatively at 4weeks, 8 weeks and 12 weeks. Result: Two-point fixations give stable results both aesthetically and functionally in the management of Zygomatico maxillary complex fractures. Conclusion: Rigid internal fixation with titanium miniplates at two points in zygomatic buttress and in the fronto zygomatic region can be adopted with confidence as it gives excellent results. The scar formed in the infraorbital region or the unsightly ectropion can be avoided by not including the infra orbital region.

Background: Mandibular condyle fractures are commonly encountered in the practice of maxillofacial surgeon. Even though being a commonly seen fracture, the fracture condyle of the mandible demands meticulous diagnosis and a tailor made treatment plan for each and every patient. The treatment plan largely depends on the age of the patient and the displacement of the fractured fragment. This retrospective study provides an insight in to the management of fracture mandibular condyle by retromandibular approach. Aims and Objectives: The aim of this study was to evaluate the complications of the retromandibular transparotid approach in surgically operated patients with mandibular condylar fractures. Materials and Methods: A retrospective study was performed by analyzing the treatment records of patients who underwent open reduction and internal fixation (ORIF) by the retromandibular transparotid approach for seven years. Thirty-five patients who fulfilled the criteria were included in the study. Clinical parameters such as marginal mandibular nerve weakness, sialocele, occlusal derangement and decreased mouth opening were recorded during the first, fourth and twelfth weeks postoperatively. The retrieved data were analyzed for complications of the retromandibular approach in the management of mandibular condylar fractures. Results: In patients (N= 35) who underwent ORIF by the retromandibular transparotid approach, findings recorded at the end of the first week included 5 patients with sialocele, 2 patients with derangement of occlusion, 6 patients with restricted mouth opening and 1 patient with marginal mandibular nerve weakness. However, postoperatively, at the end of 4 weeks, the only complication observed was sialocele in 3 patients. Furthermore, at the end of 12 weeks, sialocele had completely resolved in all 3 patients, and they were free of complications. Conclusion: The retromandibular transparotid approach is a reliable and straightforward technique with manageable complications.