Tratamento cirúrgico de fratura nasal vinte anos após o trauma

Abstract

Nasal bone fractures are very common, and their approach should be immediate to better repair the defects. This is not always possible, which makes the surgical procedure more complex, often going from a simpler fracture reduction to a nose reconstruction. There are several materials and techniques to perform this type of procedure, among them the implant made from polymethyl methacrylate (PMMA). This study aimed to report a case of nasal dorsum reconstruction using a customized in situ molded PMMA prosthesis. A 24-year-old male patient searched for a public hospital with sequelae of fracture in his nasal bones, resulting from a mule kick twenty years ago, with aesthetic complaints. On physical examination, a significant loss of projection of the nasal dorsum was observed with local cicatricial fibrosis. To correct the defect, a prothesis constructed from PMMA was molded and installed, fixed with plates and screws. The patient has been under follow-up for one year with an acceptable result. Although it is not the first option in many cases for nasal dorsum reconstruction, PMMA can be used to repair existing sequelae areas, achieving satisfactory aesthetic results.