Zygomaticomaxillary complex fractures are common facial injuries that need critical concern for clinicians to enhance the quality of life for fractured people and minimize further complications as much as possible.

In our review, we aim to explore the correlation between these types of fractures and postoperative TMD from the literature.

Comprehensive literature research was conducted across multiple databases, including PubMed and Scopus, in addition to Web of Science, supplemented by gray literature from Google Scholar for articles related to ZMC fracture and its direct and indirect effects on TMD.

This review reveals the expected influencing or exacerbating factors for the development of TMD following zygomatic fractures. Mechanical disruption of the TMJ, muscular and neurological trauma, and psychological factors were identified as the expected mechanisms contributing to TMD development. Additionally, early postoperative rehabilitation, including physiotherapy and jaw exercises, was found to be effective in mitigating TMD symptoms.

ZMC fractures are associated with a risk of postoperative TMD. Surgical approaches, fixation techniques, and preoperative risk assessments play a crucial role in minimizing this complication. Early intervention and personalized care strategies are essential to improving long-term functional outcomes and quality of life for affected patients.