Zygoma fracture caused by penetration of atypical object into the face

Authors

DOI:

https://doi.org/10.33448/rsd-v11i3.26576

Keywords:

Zygoma; Fractures bone; Wounds gunshot.

Abstract

Fractures of the zygomatic bone, when displaced, usually have great clinical repercussions, whether functional or aesthetic. Many of the aesthetic complaints are due to the zygoma being located in a very prominent region on the face. The main functional limitations reported by patients are diplopia, limited mouth opening and paresthesia in the regions innervated by the infraorbital nerve. They are usually caused by physical aggression, traffic accidents or by the victim of a firearm projectile, but very rarely being caused accidentally in the author of the shot. This work aims to report the immediate handling of a rare accident caused by the penetration of a firearm component in the face of the shooter, in which the initial conduct was to remove the object, preserving as much tissue as possible. soft and hard, and a second surgical time for bone fixation after adequate planning, showing the importance of directing the planning according to the patient's complaints. In this way, the professional must have a good knowledge of the main signs and symptoms of facial fractures, in order to provide an adequate diagnosis and surgical planning to the patient, especially in cases of more atypical traumas.

References

Bell, R. B. (2010). Computer planning and intraoperative navigation in cranio-maxillofacial surgery. Oral Maxillofac Surg Clin North Am; 22(1):135–156.

Bohneberger, G., Luiz Griza, G. L., Conci R. A., Garbin-Júnior, E. A., Ernica, N. M., Acosta, E. E. C. & Zenatti, R. (2021). Diagnóstico e tratamento de múltiplas fraturas em terço médio da face: relato de caso. Brazilian Journal of Health Review, 4(6), 25801-13.

Cassiano, G. B., Figueiredo, F. T., Pelissaro, G. S., Mendonça, J. C. G, Silva, J. C. L., & Gaetti Jardim, E. C. (2021). Fratura do complexo zigomático-orbitário: uma abordagem cirúrgica. Archives of Health Investigation, 10(8), 1299–1304. https://doi.org/10.21270/archi.v10i8.5432

Chepurnyi, Y., Chernohorskyi, D., Zhukovtseva, O., & Kopchak, A. (2021). Clinical Efficacy Comparative Evaluation of the Treatment Methods of Combined Defects and Deformities of the Zigoma and Orbit. Ukrainian Dental Almanac, (2), 73-81. https://doi.org/10.31718/2409-0255.2.2021.14

Dimitriu C, Antoniadis K, Symeonidis V, Vatselvanos K, & Triaridis K. (1989). Isolated fractures of the zygomatic arch. Hell Period Stomat Gnathopathoprosopike Cheir. 4(2): 87-90.

Dubois, L., Steenen, S. A., Gooris, P. J., Mourits, M. P., & Becking, A. G. (2015). Controversies in orbital reconstruction—II. Timing of post-traumatic orbital reconstruction: a systematic review. Int J Oral Maxillofac Surg;44(4):433–440.

Ellstrom, C. L., & Evans, G. R. (2013). Evidence-based medicine: zygoma fractures. Plast Reconstr Surg;132(6):1649–1657.

Gart, M. S., & Gosain, A. K. (2014). Evidence-based medicine: orbital floor fractures. Plast Reconstr Surg;134(6):1345–1355.

Gellrich, N. C. (1999). Controversies and current status of therapy of optic nerve damage in craniofacial traumatology and surgery. Mund Kiefer Gesichtschir;3(4):176–194.

Hammer, B. (2015). Fraturas orbitárias-diagnóstico, tratamento e correções secundárias. Ed. Santos.

Hurrell, M. J., & Batstone, M. D. (2014). The effect of treatment timing on the management of facial fractures: a systematic review. Int J Oral Maxillofac Surg;43(8):944–950.

Kittidumkerng, W., & Ellis, E. (1996). Analysis of treatment for isolated zygomaticomaxillary complex fractures. J Oral Maxillofac Surg. 54(4): 386-400; discussion 400-1.

Kloch, D. W., & Gilliland, R. (1987). Internal fixation versus conventional therapy in midface fractures. J Trauma. 27(10): 1136-45.

Knight, J. S., & North, J. F. (1961). The classification of malar fractures: na analysis of displacement as a guide to treatment. Br J Plast Sur. 13: 325-39.

Manganello-Souza, L. C., Silva, A. A. F., & Pacheco, D. F. S. (2003). Zygomatic and orbitozygomatic fractures. Rev Soc Bras Cir Plast. 18(2): 17-23.

Muller, V. A., Gustavo Bruksch, K., Sória, G. S., Gallas, K., de-Moura, F. R., Brew, M. C., & Bavaresco, C. S. (2021). Tempo de recuperação funcional após fraturas faciais: perfil e fatores associados em amostra de pacientes do sul do Brasil. Rev Col Bras Cir. 48:e20202581.

Pereira, A., Shitsuka, D., Parreira, F., & Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM. https://repositorio.ufsm.br/bitstream/handle/1/19110/Curso_Lic-Ed-Esp_Did%C3%A1tica-geral.pdf?sequence=1&isAllowed=y

Sands, T., Symington, O., Katsikeris, N., & Brown, A. (1993). Fractures of the zygomatic complex : a case report and review. J Can Dent Assoc. 59(9): 749- 55,757.

Souza, L. C. M. & Luz, J. G. C. (2006). Tratamento cirúrgico do trauma bucomaxilofacial. (3a ed.), Ed. Roca.

Van As, A. B., Van Loghen, A. J., Biermans, B. F., Douglas, T. S., Wieselttaler, N., & Naideo, S. (2006). Causes and distribution of facial fractures in a group of South African children and the value of computed tomography in their assessment. Int J Oral Maxillofac Surg. 35(10): 903-6.

Published

21/02/2022

How to Cite

SANTOS, A. J. F. dos .; LOPES, A. C. .; AIRES, C. C. G. .; LIMA, F. R. M. D.; BATISTA, I. M. A. .; DOURADO, A. C. A. G. .; ANDRADE, E. S. de S. Zygoma fracture caused by penetration of atypical object into the face . Research, Society and Development, [S. l.], v. 11, n. 3, p. e25511326576, 2022. DOI: 10.33448/rsd-v11i3.26576. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/26576. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences