Midfacial fracture is a condition of facial bone discontinuity distributed in the nasal bones, maxillary bones, zygoma bones, and alveolar bones. Motor vehicle accidents are the leading cause of midfacial trauma in many countries. Primary assessment and management of midfacial trauma patients is critical, thus it called golden hour. The goal of treatment for midfacial trauma is restoration of the proper anatomy of the midfacial skeletal unit. A case involving a 14-year-old girl referred to Dr. Wahidin Sudirohusodo Hospital, Makassar with midfacial fracture of left zygomatic bone after a motorcycle accident. This patient complained of facial swelling, nasal obstruction, occasional cephalgia, and facial pain in the left maxillary region. The patient's condition was stable, with periorbital hematoma and laceration were found during examination, as well as nasal congestion was found on anterior rhinoscopy. A non-contrast head MSCT showed left side depressed fracture of maxilla, fractures of the medial and posterior walls of the left maxillary sinus, fractures of the frontozygoma process, left maxilozygoma, and left nasal bone, and hematosinus in the left maxilla sinus. The patient was then treated with open reduction and internal fixation (ORIF) with 3 plates installation, because there are 3 depressed unstable points. The incision process was carried out under the inferior palpebra. The surgery was successful and the patient managed to go home after day 2 post-surgery.

Midfacial Fracture, Zygomatic Fracture, Open Reduction and Internal Fixation, ORIF