The x-ray shows a right-sided depressed zygomatic arch fracture (arrow). Click on the x-ray to enlarge.
As for ZMC fractures, the majority of zygomatic arch fractures do not need urgent surgical intervention.
If there is restriction of mouth opening due to trapping of the temporalis muscle or mandibular condyle, it is an indication for urgent referral to a maxillofacial surgeon.
Follow-up and advice should follow that given for a ZMC fracture.