ALTHOUGH there have been many articles published which have outlined the various methods of treatment of malar fractures, such as those of Lange1 and Rubin,2 there have been relatively few, such as Woodburn's,3 which have suggested any particular association of facial injuries with skull fractures and none which have drawn attention to the pathophysiologic peculiarities of the specific type here to be defined. This paper sets forth a particular type of fracture with which the authors have had a unique experience in patient management, and it is believed that a broad distribution of this experience will be of benefit to those who handle injuries of this region. Awareness of the fact that a localized intracranial injury in the region of the greater and lesser wings of the sphenoid, though unlikely, can result with the failure of disruption of the sphenozygomatic suture in association with the typical tripod