(A) Drawing illustrating the quadripod nature of the zygoma (A) Drawing illustrating the quadripod nature of the zygoma. (B) A maxillofacial axial CT slice in an adolescent status post assault shows a displaced left ZMC fracture. The malar process has been pushed backwards, resulting in a typical ZMC fracture (long arrow). Also notice the subcutaneous air (short arrow) that probably escaped from the maxillary sinus at the time of the trauma. (Illustration by Kit Hefner, MS, CMI-Manager, Medical Illustration & Graphics, SUNY Upstate Medical University Syracuse, New York, [A] and Photo contributor: Sydney Butts, MD [B].) Source: Chapter 20. Trauma, Atlas of Pediatric Emergency Medicine, 2e Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: https://accessemergencymedicine.mhmedical.com/DownloadImage.aspx?image=/data/Books/shah2/shah2_c020f035b.png&sec=42537694&BookID=577&ChapterSecID=42532506&imagename= Accessed: November 09, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved