Isolated zygomatic arch fractures represent about 10% of facial fractures. Most are easily reduced, but about 7% require fixation. Stabilization with plates, transcutaneous wiring, and various packing materials may involve additional morbidity and other drawbacks. A double balloon epistaxis catheter may be inserted beneath the arch fracture site and inflated for 5 to 7 days as a relatively simple, reliable alternative that involves minimal morbidity.