The malar bone represent a strong bone on fragile supports, and it is for this reason that, though the body of the bone is rarely broken, the four processes- frontal, orbital, maxillary and zygomatic are frequent sites of fracture.
HD Gillies, TP Kilner and D Stone, 1927
Zygomatic bone fractured as a block near its principle three suture lines and often displaces inwards to a greater or lesser extent.
The methods of treating a fractured malar bone recommended by the various writers who have reported cases include simple digital manipulation under genre real anesthesia, external manipulation by means of a cow-horn dental forceps grasping the edges of the bone, traction and elevation by means of wire or heavy bone elevators passed through small local external incisions, and elevation via incision in the mucosa of the ginigival sulcus at the canine fossa. Our technique, which has now been used successfully in a number of cases, differs from those mentioned.