Objective <p>To explore the effectiveness of endoscopy combined with digital navigation technology in the treatment of zygomaticomaxillary complex fractures.</p> Methods <p>A retrospective controlled study was conducted. The endoscopy combined with digital navigation technology group was defined as the new technology group, and the conventional treatment group was defined as the conventional group. Eight patients were selected from each group. The chi-square test or t test was used to compare the basic conditions, postoperative recovery, and orbital volume between the two groups. Multivariate linear regression was performed to assess independent predictors of postoperative orbital volume difference, including digital navigation technology use, operation time, trauma-to-operation interval, and preoperative mouth opening. Results are presented as regression coefficients (β), 95% confidence intervals, and <i>p</i>-values.</p> Results <p>There were no significant differences in sex, age, injury mechanism, etc., between the new technology group and the conventional group. The fracture reduction fit of the new technology group was better than that of the control group, the postoperative orbital volume was closer to the preoperative orbital volume, and the difference was statistically significant.digital navigation technology use&#xa0;was independently associated with a significant reduction in postoperative orbital volume difference (β = -3.14&#xa0;ml; 95% CI: -4.09 to -2.18; <i>p</i> &lt; 0.001). No significant associations were found for operation time, preoperative mouth opening, or time from trauma to operation.</p> Conclusion <p>Based on the findings of this study, we believe that endoscopy combined with digital real-time navigation technology can improve the efficacy of surgical treatment for zygomaticomaxillary orbital floor complex fractures, thereby achieving better functional recovery.</p>