TITLE:
Zygomatic Bone Fractures at Cocody Teaching Hospital from January 2025 to December 2025: Epidemiological, Clinical and Therapeutic Aspects
AUTHORS:
Konan Rene Kouakou, Konan Marc Koffi, Khader Morel Diarra, Ahi Morel Chapo, Koffi Laurent Boka, Eve Josiane Gnepo, Yah Maimouna Fofana, Attowla Vianney N’Guessan, Harouna Jean Fofana, Ebolo Chardin Ebolo, Aden Mohammed Abdoulrazack, Stephane Notoloum, Bakary Ouattara
KEYWORDS:
Zygomatic, CHU, Cocody, Zingg Classification, Osteosynthesis
JOURNAL NAME:
Open Journal of Stomatology,
Vol.16 No.9,
September
2,
2026
ABSTRACT: Introduction: Fractures of the zygomatic bone account for 32% to 38% of facial fractures and represent a major therapeutic challenge. This study aimed to identify the epidemiological profile and describe the clinical and therapeutic aspects of these fractures at the Cocody University Hospital (CHU). Material and Methods: This was a retrospective, cross-sectional study conducted over a 12-month period (January-December 2025) carried out at the oral and maxillofacial surgery department of the Cocody teaching hospital. The study included patients presenting with an isolated zygomatic bone fracture confirmed by computed tomography (CT), who underwent an ophthalmological examination, received treatment for the fracture, and were reviewed one-month post-treatment. Results: During the study period, 322 admitted patients presented with maxillofacial fractures. Among them were 102 patients with an isolated zygomatic bone fracture. The prevalence was 31.7% among all maxillofacial fractures. The typical profile was a male (93.1% of cases) with a mean age of 32.97 years. Motorcycle and tricycle accidents were the dominant etiology (82.3%). Clinically, facial asymmetry was nearly constant (86.3%), followed by limited mouth opening (58.8%). According to the Zingg classification, Type B was predominant (76.8%). The mean time to management was 11 days. Treatment primarily consisted of internal fixation using screwed mini-plates (85.3%). The outcome at one month was satisfactory in 88.2% of cases, despite some persistent complications (cheek asymmetry 5.2%, enophthalmos 3.6%). Discussion: The results confirm the predominance of young men involved in road traffic accidents. While internal fixation provides good functional results, the management delay remains long, due to the slowness of the MGF’s administrative procedures (Motor Guarantee Fund). Simplification of funding circuits is necessary to optimize the aesthetic and functional prognosis for patients.