10.22376/ijlpr.2023.13.2.SP2.L131-142 ijlpr 2023; doi Revised On 15 January 2023 Accepted On 14 February 2023 Published On 01 March 2023 Funding This research did not receive any specific grant from any funding agencies in the public, commercial or not for profit sectors. Copyright @ International Journal of Life Science and Pharma Research, available at www.ijlpr.com Int J Life Sci Pharma Res., Volume13., No 2 (March) 2023, pp L131-142 This article is under the CC BY- NC-ND Licence (https://creativecommons.org/licenses/by-nc-nd/4.0) Citation Raja Sethupathy Cheeman, Tejaswini Nerkar, R. Sathyanarayanan, Raghu Kumaravelu, R. Sailesh Kumar, V.Venugopalan, Priyanka Ganeshan, and Raymond Joseph Periera , Retrospective Analysis On Changing Norms in Zygomatic Maxillary Complex Fractures..(2023).Int. J. Life Sci. Pharma Res.13(2), L131-142 http://dx.doi.org/10.22376/ijlpr.2023.13.2.SP2.L131-142 Received On 18 November 2022 Raja Sethupathy Cheeman , Assistant Professor, Department of Oral & Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pondicherry- 607402. *Corresponding Author Research Article International Journal of Life science and Pharma Research Retrospective Analysis On Changing Norms in Zygomatic Maxillary Complex Fractures. Raja Sethupathy Cheeman 1* , Tejaswini Nerkar 2 , R. Sathyanarayanan 3 , Raghu Kumaravelu 4 , R. Sailesh Kumar 5 , V.Venugopalan 6 , Priyanka Ganeshan 7 , and Raymond Joseph Periera 8 1 Assistant Professor, Department of Oral & Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pondicherry- 607402. 2 Post graduate trainee,Department of Oral & Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pondicherry- 607402. 3 Professor & Head,Department of Oral & Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pondicherry- 607402. 4 Associate professor,Department of Oral & Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pondicherry- 607402. 5 Assistant professor,Department of Oral & Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pondicherry- 607402. 6 Assisstant professor, Department of Oral & Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pondicherry- 607402. 7 Post graduate trainee,Department of Oral & Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pondicherry- 607402. 8 Post graduate trainee, Department of Oral & Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pondicherry- 607402. Abstract: The zygomaticomaxillary complex fracture is unique and difficult to treat fracture, mostly because of its pentapod anatomic form which may necessitate a patient-specific treatment approach. This retrospective study aims at evaluating the changing trends in ZMC fractures. A total of 245 cases were included in this retrospective study, treated either surgically or conservatively, for ZMC fractures in the time period of 3 years (2017-2019). All the patients were assessed and compared based on these parameters- gender, age, aetiology, anatomic site of the fracture and type of treatment given and associated maxillofacial fractures. Fracture aetiology was segregated into: motorised road traffic accidents, road traffic accidents under the influence of alcohol, interpersonal violence, domestic violence, sports injury and self falls. 94.3% of the 245 study participants were men, while 5.7% were women. The most common age group was 21 to 40 years (60.8%). In our study, the most common cause of Zygomatic fracture was road traffic accidents with or without the influence of alcohol (41.6%). ORIF - 3 point fixation (32.7%) was the most commonly used treatment, followed by 4 point fixation (27.3%). The Maxillary buttress region was the most frequent site of fracture (93.5%), followed by the other sites. Due to the shifting patterns of injuries, most surgeons no longer see conventional fracture lines. Instead, patients have unusual and hybrid fracture lines, which necessitate more fixations due to the injury's complexity. The tendency is now shifting toward tailoring treatment choices for individual patients. Keywords: Zygoma, Maxilla Fracture, Patterns, Pentapod Structure, ISSN 2250-0480