Zygomatic arch fractures are the most common facial fractures or second in frequency after the nasal fractures. The high incidence of zygomatic fractures probably relates to its prominent position in the facial skeleton hence it is frequently exposed to fractures.

In this case report we present a case of a eight years old boy who presented with progressive orbital cellulitis causing endangered vision secondary to carious primary maxillary molar. The patient was appropriately managed with intravenous antibiotics, steroids and surgical decompression. Significant morbidity was overcome by multi-specialty team approach.