Use of Percutaneous Access via Combination of Transconjunctival and Lateral Canthotomy Approach for Rigid Fixation and Reconstruction of the Unstable Zygomatic Arch

Introduction: Zygomatic arch fractures are common injuries in the maxillofacial injuries. Sometimes it is necessary to fix the unstable fragments of the zygomatic arch. Case Presentation: We introduce a combination of transconjunctival and lateral canthotomy for open reduction and percutaneous access for rigid fixation of the arch in the zygomatic maxillary complex (ZMC) fracture in a 44-year-old man. Conclusions: This approach may be an appropriate approach to the zygomatic arch in the ZMC fractures and eliminates the use of the coronal flap.