HighlightsIntraosseous zygomatic hemangioma is highly prevalent in females compared to males (2.28:1), with mean age of 44.1 ± 1.8 years.The main patient concern in intraosseous zygomatic hemangioma is swelling and facial deformity.Partial resection and curettage are associated with high recurrence rate.Total tumor resection can assure no recurrence proved for over 10 years of follow-up, with minimal intraoperative bleeding occurred in most of the cases.Computer guided surgery for resection and reconstruction of intraosseous zygomatic hemangioma facilitates the surgical procedures.