he Purpose of the Study: To evaluate the pattern of zygomatic complex fractures at the Aminu Kano Teaching Hospital from April 2002 to November 2003 and highlight management techniques employed. Patients and Methods: Thirty five patients with ZMC fractures were prospectively studied. These patients were attended to either at the Accident and Emergency Unit or at the Dental and Maxillofacial Clinic of the Hospital. Features assessed were; patients’ demographic data, aetiology, location of injury, clinical features, indication for treatment, associated facial fractures\concomitant systemic injuries and specific treatment modality used. These were recorded on data sheets, pooled and subjected to simple descriptive statistics. Results: Road traffic crashes constituted a major aetiological factor. The group of patients mostly affected were those in the 21 - 30 age range. There was a male preponderance with a male to female ratio of 4:1. Conclusion: There was a high incidence (66%) of ZMC fractures in AKTH with respect to fractures of the middle third of the facial skeleton during the period of study with a greater percentage of male involvement. Majority of the injuries was caused by Road Traffic Crashes with particular reference to Motorcycle injuries. Most of the patients were in the 21 to 30 age group. Mandibular fractures were the most involved facial bone injury and in the consideration of concomitant injuries, the involvement of the skin was predominant. The use of the zygomatic hook with or without transosseous wiring was the most popular method of active management in our Unit during the study period. The incidence of complications (20%) could be reduced by increasing level of awareness of health-related states through education of the populace