Neglected orbitozygomaticomaxillary fractures with complications: A case report

Wahdini, Siti Isya; Dachlan, Ishandono; Seswandhana, Rosadi; Hutagalung, Magda Rosalina; Putri, Indri Lakhsmi; Afandy, Dwiki

doi:10.1016/j.ijscr.2019.07.055

Cited by 11 publications

(20 citation statements)

References 14 publications

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“…O tratamento cirúrgico de tais fraturas vai depender da localização e extensão da fratura, o acesso intra-oral é mais utilizado para a área de pilar zigomático, sulco prétarsal ou porção lateral da sobrancelha para visualização da sutura frontozigomática, e a incisão transcutânea subciliar ou transconjuntival é utilizada para acessar o arco infraorbital e o assoalho de órbita (12). Dakir et al (13), em sua revisão, evidencia as vantagens de uma abordagem cirúrgica intraoral para correção de fraturas no complexo zigomáticofacial, sendo a mais evidente a ausência de cicatriz na pele do paciente.…”

Section: Resultsunclassified

“…A complicação pós-cirúrgica relatada com maior frequência e duração é a neuropraxia dos ramos do nervo infraorbitário derivadas do trauma, condição que acontece em até 40% dos casos (14). Isya et al (12) observou em seu estudo que as maiores complicações derivadas de traumas no complexo zigomáticofacial, é a assimetria facial causada derivada de um possível afundamento do zigoma, ectrópio palpebral, afundamento do globo ocular dentro da órbita (enoftalmia), diplopia, síndrome do ápice orbital e fissura orbital superior e hemorragia retrobulbar.…”

Section: Resultsunclassified

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Abordagens cirúrgicas em fraturas do complexo zigomático: revisão de literatura

Silva

Lima

et al. 2020

JOI

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Introdução: O complexo zigomático é de grande importância no estudo da traumatologia devido a sua posição anatômica muito suscetível a traumas. Devido a sua interação direta com a órbita, o osso zigomático é uma importante proteção do globo ocular, assim como um dos responsáveis pela dissipação e transmissão de forças mastigatórias. Objetivo: O presente estudo objetiva revisar as formas de diagnóstico, exames complementares e as principais abordagens cirúrgicas bem como as possíveis complicações. Metodologia: Os dados selecionados foram obtidos através do acesso as bases de dados eletrônicos Medline, PubMed e Science direct. Foram selecionados 1 livro e 15 artigos publicados entre 2013 e 2019. Resultados: Diversas abordagens cirúrgicas podem ser utilizadas em fraturas do complexo zigomático dependendo da extensão e localização da fratura. As cirurgias são consideradas procedimentos seguros, com baixos níveis de complicações e sem problemas maiores no pós-operatório. Com a tecnologia 3D, o diagnóstico e planejamento dos casos se torna facilitado e mais preciso, levando a um procedimento mais seguro e previsível. Conclusão: O diagnóstico de fraturas no osso zigomático deve ser minucioso, envolvendo aspectos clínicos e exames complementares, o tratamento deve ser realizado de forma a preservar não só a função bem como a aparência, visto que erros no reposicionamento pós-trauma do processo zigomático pode causar simetria facial evidente no paciente, assim como o afundamento do globo ocular, diplopia, fissura orbital superior e hemorragia retrobulbar.

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Section: Resultsunclassified

Abordagens cirúrgicas em fraturas do complexo zigomático: revisão de literatura

Silva

Lima

et al. 2020

JOI

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“…Infected fracture, including abscess and osteomyelitis, has been the marked fear related to delayed treatment of the neglected facial fracture 20 . Other following complication may arise from a neglected facial fracture as well as chronic pain, sensory abnormalities, facial disfigurement, trismus, malocclusion, dental and speech disabilities, and ophthalmologic disability such as eye disfigurement, visual loss, diplopia, and retrobulbar hematoma 6,19 . Neglected facial fracture may also increase the length of hospital stay, days in the ICU, and days on a ventilator; the need for revision surgery; weight loss; prolonged rehabilitation; death 5 .…”

Section: Discussionmentioning

confidence: 99%

“…However, healthcare providers who take care of these patients have to understand the related physical examinations. Any misdiagnosis or incorrect reconstruction of the pre-injury anatomy can cause post-traumatic deformities that can lead to serious complications 6 . Early diagnosis and management of any facial injury are essential to prevent late treatment and possible permanent disfigurement 1,5,6 .…”

Section: Discussionmentioning

confidence: 99%

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Neglected Fracture in Maxillofacial: Case Series

Khairiza

Setyarto

2020

J Plast Rekons

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Introduction: Neglected fracture is a condition of fracture that is not handled or mishandled, resulting in a state of delay in treatment, or a worse condition and even a disability. The technical difficulty was associated with a greater incidence of complications and often lead to a suboptimal result. A more precise understanding of maxillofacial fracture's demographic patterns will help healthcare providers manage maxillofacial injuries. Method: Twenty-nine patients with neglected maxillofacial fractures were registered in the Division of Plastic Reconstructive and Aesthetic Surgery, Dr. Kariadi Central-General Hospital Semarang, January 2015 to December 2018. The collected information included gender, age, etiology, and site of fracture. Some of the cases are presented. Result: Neglected fracture of maxillofacial occurred predominantly in young adults. The male population was more frequently affected (62%)—most patients with neglected maxillofacial fractures associated with MVA (84%). The Mandible was the most common site of the fracture, followed by ZMC. Conclusion: The possibility of a fracture of Mandible and ZMC or adjacent bones should be considered in any facial trauma, especially related to MVA injury. Early and proper management will provide a better result.

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Changes in Facial Symmetry Following Computer-Assisted Secondary Correction of Craniofacial Fractures

Jiang

Zhou

et al. 2023

Journal of Craniofacial Surgery

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Objective: For patients without dysfunctions, the main purpose of secondary correction for craniofacial fractures is restoring facial symmetry. Computer-assisted surgery techniques including virtual surgical planning and intraoperative navigation provide the help to restore the bony symmetry as much as possible. The authors retrospectively quantitatively analyzed patients who received computer-assisted secondary correction for craniofacial fractures on facial symmetry pre and postoperation. Methods: This observational study reviewed the medical records of 17 patients requiring secondary correction for craniofacial fractures. Pre and postoperative computed tomography data were used to quantitatively analyze the changes in facial symmetry and enophthalmos. Result: All patients enrolled in this study showed mid-facial asymmetry but without dysfunctions except for enophthalmos, and 5 patients had bone defects in the frontal-temporal area. The corrective surgical techniques were different for each patient according to their specific condition. Virtual surgical planning with or without intraoperative navigation was performed for all patients. Compared with the preoperative condition, their facial symmetry was significantly improved. The maximum discrepancy value between the affected side and the mirrored unaffected side decreased from 8.10 ± 2.69 to 3.74 ± 2.02 mm postoperatively, and the mean discrepancy value decreased from 3.58 ± 1.29 to 1.57 ± 0.68 mm. In addition, the Enophthalmos Index decreased from 2.65 to 0.35 mm. Conclusion: This observational study objectively demonstrated that computer-assisted secondary correction for craniofacial fractures can significantly improve facial symmetry. And the authors recommend that virtual surgical planning and intraoperative navigation should be a must step in craniofacial fracture correction.

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Neglected orbitozygomaticomaxillary fractures with complications: A case report

Cited by 11 publications

References 14 publications

Abordagens cirúrgicas em fraturas do complexo zigomático: revisão de literatura

Abordagens cirúrgicas em fraturas do complexo zigomático: revisão de literatura

Neglected Fracture in Maxillofacial: Case Series

Changes in Facial Symmetry Following Computer-Assisted Secondary Correction of Craniofacial Fractures

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