ZMC# HISTORY Fractured zygomas - Edwin Smith papyrus- 1650 BC Duverney was the first surgeon- operative technique for treatment of fractured zygomatic arch -1751 He used intraoral finger pressure to elevate the depressed arch while the patient was asked to bite on a block of wood which resulted in tension of the temporalis muscle and tendon which along with the force from the finger in the outward direction resulted in reduction of the fracture. Keens approach - early 20th century ANATOMY Also called tripod, trimalar fractures One of the three principal buttress of facial skeleton Critical to maintain normal facial width and prominence of cheek Process 🠆 articulates with Frontal 🠆 Frontal bone Temporal 🠆 Temporal bone Maxillary 🠆 Maxilla Orbital 🠆 Sphenoid (Greater wing) Muscles originating from the zygoma Masseter muscle from the temporal surface Zygomaticus minor, Zygomaticus major and Levator labii superioris from the malar surface Temporalis muscle and fascia at the poste...