Objective:

To evaluate the usefulness of tomography with three-dimensional reconstruction in identifying zygomatic complex fractures of malar and orbital floor to establish an accurate diagnosis and appropriate treatment plan.

Material and methods:

This study was carried out in the Maxillofacial Surgery Department of the General Regional Hospital No. 6 “Dr. Ignacio Garcia Tellez” of the Mexican Social Security Institute in Cd. Madero, Tamaulipas, in the period from October 2014 to October 2015.

Results:

Using 3D CT allowed identifying the traces of fractures and using an appropriate surgical treatment in 35 patients.

Conclusions:

The 3D CT is an indispensable diagnostic imaging aid for confirming the diagnosis of trauma of the maxillofacial region.