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The Zygomatic Bone: Anatomy, Function, and Clinical Significance of the Cheekbone

Zygomatic Bone
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The human skull is a structural masterpiece, and among its most recognizable features is the zygomatic bone, also commonly known as the cheekbone. Not only does it define the contours of the midface, but it also supports essential functions including protection of the eye socket, attachment for facial muscles, and articulation with surrounding cranial structures.

In this comprehensive guide, we’ll dive into everything you need to know about the zygomatic bone—its anatomy, articulations, development, clinical relevance, and aesthetic importance. Whether you're studying anatomy, pursuing dental or medical education, or simply curious about facial bones, this article provides the complete picture.

What Is the Zygomatic Bone?

The zygomatic bone is a paired, irregular facial bone that gives shape to the cheeks and forms part of the lateral wall and floor of the orbit (eye socket). It is often referred to as:

  • Cheekbone
  • Malar bone
  • Zygoma

It plays a vital role in both form and function by contributing to facial aesthetics and serving as a structural foundation for surrounding tissues.

Where Is the Zygomatic Bone Located?

The zygomatic bones are situated on each side of the face and are easily palpable just below and to the side of the eyes.

Anatomical Position:

  • Inferior to the orbit
  • Lateral to the nasal bones
  • Anterior to the temporal bones
  • Superior to the maxillae

These bones give the cheeks their prominence and serve as lateral buttresses for the midface.

Zygomatic Bone Anatomy: Detailed Structure

Each zygomatic bone has several projections (or processes) that articulate with neighboring bones, contributing to the structural complexity of the skull.

1. Temporal Process of the Zygomatic Bone

  • Projects posteriorly to connect with the zygomatic process of the temporal bone.
  • This connection forms the zygomatic arch, a crucial anatomical feature of the skull.

2. Zygomatic Process of the Temporal Bone

  • A bony projection of the temporal bone that completes the zygomatic arch.
  • Provides a path for the temporalis muscle, essential for mastication.

3. Frontal Process

  • Extends superiorly to articulate with the frontal bone near the lateral aspect of the orbit.

4. Maxillary Process

  • Projects medially and joins the maxilla, contributing to the infraorbital rim and orbital floor.

Articulations of the Zygomatic Bone

The zygomatic bone forms joints with four bones:

BoneConnected Process
Frontal boneFrontal process of zygomatic bone
MaxillaMaxillary process
Temporal boneTemporal process & zygomatic process
Sphenoid boneOrbital surface

These articulations support the orbit, cheek, and jaw structures and create stability across the midface.

Key Functions of the Zygomatic Bone

The zygomatic bones are essential for both aesthetic and functional reasons:

  • Facial contour and projection
  • Orbit protection
  • Attachment site for facial muscles like the zygomaticus major and minor
  • Chewing efficiency via the zygomatic arch’s relation to the masseter and temporalis muscles
  • Trauma absorption due to their lateral, prominent position

Muscles Attached to the Zygomatic Bone

Several muscles responsible for facial expression and mastication originate or insert on the zygomatic bone:

  • Zygomaticus major – Lifts the corner of the mouth (smiling)
  • Zygomaticus minor – Elevates the upper lip
  • Masseter – Attaches to the zygomatic arch, aids in chewing
  • Temporalis – Passes beneath the zygomatic arch, controls jaw closure

Zygomatic Arch: Structure and Role

The zygomatic arch is formed by the union of:

  • Temporal process of the zygomatic bone
  • Zygomatic process of the temporal bone

It serves to:

  • Support chewing muscles
  • Create facial width and definition
  • Act as a landmark in reconstructive surgery and trauma cases

Development and Ossification

  • The zygomatic bone begins ossification during the 8th week of fetal development from neural crest cells.
  • It is completely ossified in early childhood and fuses with neighboring bones to form the mature midface.

Zygomatic Bone in Cosmetic and Reconstructive Procedures

1. Cheek Augmentation

  • Enhances midface projection using:
    • Solid implants (silicone or Medpor)
    • Hyaluronic acid fillers
    • Fat grafting

2. Zygoma Reduction

  • Common in Asian facial contouring surgeries to slim the face by reducing lateral cheek projection.

3. Zygomatic Implants

  • Used in patients with severe maxillary bone loss where traditional dental implants are not feasible.

Clinical Conditions and Fractures

◾ Zygomaticomaxillary Complex (ZMC) Fracture

A common facial injury involving:

  • Zygomatic bone
  • Maxilla
  • Orbit
  • Lateral orbital rim

Symptoms include:

  • Flattened cheek
  • Facial asymmetry
  • Diplopia (double vision)
  • Paresthesia due to infraorbital nerve compression
  • Difficulty opening the mouth

◾ Treatment Options:

  • Non-surgical: For minor, non-displaced fractures
  • Surgical: Open reduction and internal fixation (ORIF) with titanium plates and screws

Imaging and Diagnostic Tools

  • X-ray – Basic evaluation
  • CT Scan – Preferred for trauma and surgical planning
  • CBCT (Cone Beam CT) – High-resolution imaging in dental implantology
  • MRI – For adjacent soft tissue involvement or tumor evaluation

Anthropological and Forensic Relevance

  • Zygomatic bones are used to determine ancestry, biological sex, and age of skeletal remains.
  • Prominent cheekbones are often associated with East Asian and Native American ancestry.
  • Facial reconstruction uses the zygoma as a key anchor point.

Variations Across Populations

Different ethnic populations display unique zygomatic morphologies, which can impact both facial aesthetics and surgical planning.

PopulationZygomatic Characteristics
East AsianHighly prominent, laterally flared
EuropeanBalanced projection, moderate prominence
AfricanBroad, robust, and anteriorly angled

Frequently Asked Questions (FAQs)

What is the zygomatic bone?

It is a paired facial bone also known as the cheekbone, forming the prominence of the cheek and part of the eye socket.

What is the temporal process of the zygomatic bone?

A projection that connects with the zygomatic process of the temporal bone to form the zygomatic arch.

Where is the zygomatic bone located?

On the upper lateral side of the face, between the maxilla and the temporal bone, beneath the eye.

What is the zygomatic process of the temporal bone?

A projection of the temporal bone that articulates with the zygomatic bone.

Can a fractured zygomatic bone heal without surgery?

Mild, non-displaced fractures may heal on their own, but many require surgical intervention for function and facial symmetry.

How is the zygomatic bone involved in dental implantology?

Zygomatic implants are anchored into the bone when maxillary bone mass is insufficient for traditional implants.

Summary Table

AspectDetails
Common NamesZygoma, cheekbone, malar bone
LocationLateral midface, below the eye socket
Processes InvolvedTemporal, maxillary, frontal, orbital
Articulated BonesMaxilla, temporal, sphenoid, frontal
Related MusclesZygomaticus major/minor, masseter, temporalis
Clinical RelevanceFractures, implants, cosmetic surgery, facial reconstruction
Diagnostic ToolsCT, CBCT, X-ray, MRI
Development OriginNeural crest, ossifies during fetal development
Anthropological SignificanceUsed in forensic identification and craniofacial classification

Conclusion

The zygomatic bone is more than just the prominent curve of your cheek—it’s a crucial architectural, functional, and aesthetic cornerstone of the human face. It interacts with multiple bones and muscles, affects dental and ophthalmologic outcomes, and holds a prominent role in cosmetic, reconstructive, and forensic practices.

Whether you're a healthcare professional, anatomy student, or cosmetic surgeon, understanding the zygomatic bone, including its temporal process, zygomatic arch, and clinical implications, provides essential insight into facial harmony, structure, and health.

Last Updated: Jul 12th, 2025

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