Late treatment of malunited malar fractures

Tratamento cirúrgico de seqüelas de traumatismo zigomático-orbitário: relato de caso

“…For establishing an objective plan of treatment, various factors must be determined and analyzed, such as the level of bone dislocation, the integrity of the orbital walls, the position of the eyeball, the volume of the orbital content, the changes in the insertions of the canthal ligament, the periorbital soft tissues, the radiographic and tomographic exams, and the ophthalmologic evaluation. 3 In the present case, the combination of all these data has provided the precise information about the level and extension of the dislocation of the zygomatic bone, the volume of the orbital cavity and the conditions of the orbital floor.…”

Tratamento cirúrgico de seqüelas de traumatismo zigomático-orbitário: relato de caso

“…For establishing an objective plan of treatment, various factors must be determined and analyzed, such as the level of bone dislocation, the integrity of the orbital walls, the position of the eyeball, the volume of the orbital content, the changes in the insertions of the canthal ligament, the periorbital soft tissues, the radiographic and tomographic exams, and the ophthalmologic evaluation. 3 In the present case, the combination of all these data has provided the precise information about the level and extension of the dislocation of the zygomatic bone, the volume of the orbital cavity and the conditions of the orbital floor.…”

Secondary correction of the post-traumatic deformity: A clinical study

“…However severe deformity, will require refracturing, repositioning of the displaced bony segments and bone grafting to restore lost bony structure. 16 Autogenous grafts or alloplasts such as porous polyethylene or titanium mesh are used for orbital reconstruction otherwise it casues enopthalmoswhen there is herniation of orbital fat, entrapment of periorbital or extraocular muscles, and fibrosis of soft tissues. 12,17 Management consideration usually followed to treat secondary deformities in mandible with occlusal discrepancy are extra-oral approach option which allows good visualisation, followed by the debridement for removal of any fibrous tissue, necrotic bone or failed hardware.…”

Transconjuctival Incision with Lateral Paracanthal Extension for Corrective Osteotomy of Malunioned Zygoma

“…However, it may leave an objectionable scar and partial brow depilation. Moreover, the overextended incision can make damage to motor nerve branches to the orbicularis oculi [ 4 ].…”

“…Subciliary incisions are also acceptable because it is desirable for exploration, sectioning of the orbital floor, accurate repositioning of the segment, and placement and stabilization of graft or implants. However, this approach can lead to visible scars and persistent edema, so careful attention to surgical detail can produce an aesthetic infraorbital scar line and little change for infraorbital nerve damage [ 4 ].…”

“…Cohen et al [ 1 ] noted that the general goals of posttraumatic facial deformity reconstructions are (1) to restore normal and anatomic bone alignment, (2) to reestablish the underlying skeletal support prior to addressing soft-tissue abnormalities, and (3) to replace missing tissue with like tissue. Perino et al [ 4 ] stated that aesthetic derangements in the periorbital soft tissues occur secondary to bony displacement. Tessier [ 16 ] reported that several procedures, such as rhinoplasty, lateral canthopexy, and scar excision may be needed following reconstruction as secondary operations.…”

Tratamento cirúrgico de seqüelas de traumatismo zigomático-orbitário: relato de caso

“…For establishing an objective plan of treatment, various factors must be determined and analyzed, such as the level of bone dislocation, the integrity of the orbital walls, the position of the eyeball, the volume of the orbital content, the changes in the insertions of the canthal ligament, the periorbital soft tissues, the radiographic and tomographic exams, and the ophthalmologic evaluation. 3 In the present case, the combination of all these data has provided the precise information about the level and extension of the dislocation of the zygomatic bone, the volume of the orbital cavity and the conditions of the orbital floor.…”

Secondary correction of the post-traumatic deformity: A clinical study

“…However severe deformity, will require refracturing, repositioning of the displaced bony segments and bone grafting to restore lost bony structure. 16 Autogenous grafts or alloplasts such as porous polyethylene or titanium mesh are used for orbital reconstruction otherwise it casues enopthalmoswhen there is herniation of orbital fat, entrapment of periorbital or extraocular muscles, and fibrosis of soft tissues. 12,17 Management consideration usually followed to treat secondary deformities in mandible with occlusal discrepancy are extra-oral approach option which allows good visualisation, followed by the debridement for removal of any fibrous tissue, necrotic bone or failed hardware.…”

Transconjuctival Incision with Lateral Paracanthal Extension for Corrective Osteotomy of Malunioned Zygoma

“…However, it may leave an objectionable scar and partial brow depilation. Moreover, the overextended incision can make damage to motor nerve branches to the orbicularis oculi [ 4 ].…”

“…Subciliary incisions are also acceptable because it is desirable for exploration, sectioning of the orbital floor, accurate repositioning of the segment, and placement and stabilization of graft or implants. However, this approach can lead to visible scars and persistent edema, so careful attention to surgical detail can produce an aesthetic infraorbital scar line and little change for infraorbital nerve damage [ 4 ].…”

“…Cohen et al [ 1 ] noted that the general goals of posttraumatic facial deformity reconstructions are (1) to restore normal and anatomic bone alignment, (2) to reestablish the underlying skeletal support prior to addressing soft-tissue abnormalities, and (3) to replace missing tissue with like tissue. Perino et al [ 4 ] stated that aesthetic derangements in the periorbital soft tissues occur secondary to bony displacement. Tessier [ 16 ] reported that several procedures, such as rhinoplasty, lateral canthopexy, and scar excision may be needed following reconstruction as secondary operations.…”

Tratamento cirúrgico de seqüelas de traumatismo zigomático-orbitário: relato de caso

“…For establishing an objective plan of treatment, various factors must be determined and analyzed, such as the level of bone dislocation, the integrity of the orbital walls, the position of the eyeball, the volume of the orbital content, the changes in the insertions of the canthal ligament, the periorbital soft tissues, the radiographic and tomographic exams, and the ophthalmologic evaluation. 3 In the present case, the combination of all these data has provided the precise information about the level and extension of the dislocation of the zygomatic bone, the volume of the orbital cavity and the conditions of the orbital floor.…”

Secondary correction of the post-traumatic deformity: A clinical study

“…However severe deformity, will require refracturing, repositioning of the displaced bony segments and bone grafting to restore lost bony structure. 16 Autogenous grafts or alloplasts such as porous polyethylene or titanium mesh are used for orbital reconstruction otherwise it casues enopthalmoswhen there is herniation of orbital fat, entrapment of periorbital or extraocular muscles, and fibrosis of soft tissues. 12,17 Management consideration usually followed to treat secondary deformities in mandible with occlusal discrepancy are extra-oral approach option which allows good visualisation, followed by the debridement for removal of any fibrous tissue, necrotic bone or failed hardware.…”

Transconjuctival Incision with Lateral Paracanthal Extension for Corrective Osteotomy of Malunioned Zygoma

“…However, it may leave an objectionable scar and partial brow depilation. Moreover, the overextended incision can make damage to motor nerve branches to the orbicularis oculi [ 4 ].…”

“…Subciliary incisions are also acceptable because it is desirable for exploration, sectioning of the orbital floor, accurate repositioning of the segment, and placement and stabilization of graft or implants. However, this approach can lead to visible scars and persistent edema, so careful attention to surgical detail can produce an aesthetic infraorbital scar line and little change for infraorbital nerve damage [ 4 ].…”

“…Cohen et al [ 1 ] noted that the general goals of posttraumatic facial deformity reconstructions are (1) to restore normal and anatomic bone alignment, (2) to reestablish the underlying skeletal support prior to addressing soft-tissue abnormalities, and (3) to replace missing tissue with like tissue. Perino et al [ 4 ] stated that aesthetic derangements in the periorbital soft tissues occur secondary to bony displacement. Tessier [ 16 ] reported that several procedures, such as rhinoplasty, lateral canthopexy, and scar excision may be needed following reconstruction as secondary operations.…”