Complications Complications from ZMC fractures can be related to the initial injury itself or operative management.[14]• Pain • Facial asymmetry • Scarring • Bleeding (epistaxis) • Hardware failure (exposure, palpability)) • Infraorbital nerve paresthesia • Temperature sensitivity • Facial paresis or paralysis • Poor cosmetic result • Trismus Orbital complication (usually related to clinically significant concomitant orbital floor fracture): • Blindness • Decreased visual acuity • Ectropion/entropion/lid malposition • Corneal exposure/abrasion • Ptosis • Epiphora • Enophthalmos/orbital dystopia • Diplopia • Superior orbital fissure syndrome