Conservative management of fractures in the zygomatic-orbitary complex: Clinical case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i9.18300

Keywords:

Zygomatic fractures; Orbital fractures; Conservative treatment.

Abstract

The zygoma is a pyramidal bone that has a thick body and four processes, the temporal, orbital, maxillary and frontal. These processes are the weak points of this bone. The treatment of fractures of the zygomatic complex can be performed in an open or closed way. A conservative technique widely used and effective is the use of Gancho de Barros, its biggest advantage is the speed and efficiency in the reduction. Male patient, leucoderma, 52 years old, attended the Hospital da Restauração in Recife / PE, with a history of physical aggression on the left side, with fractures in the bones of the face (zygomatic-orbital complex in the left side), zygomatic arch on the left side, maxilla and orbit (Blow-out) on the left side. The treatment established was anatomical reduction using the Gancho de Barros. The closed reduction with Gancho de Barros in this specific case, proved to be a safe and reliable device, with a good prognosis and without observation of complications and post-operative sequelae.

References

Barros, J. J. & Manganello, L. C. S. (2000). Fraturas do complexo zigomático. In: Traumatismo bucomaxilofacial. (2a ed.), Roca; 357-72.

Bergeron, J. M. & Raggio, B. S. (2021). Zygomatic Arch Fracture. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

Birgfeld, C. B., Mundinger, G. S. & Gruss, J. S (2017). Medicina baseada em evidências: Avaliação e tratamento de fraturas do zigoma. Plast. Reconstr. Surg. 139 (1): 168e – 180e

Brasileiro, B. F. & Passeri, L. A. (2006). Epidemiological analysis of maxillofacial fractures in Brazil: A 5-Year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod; 102:28-34.

Brucoli et al. (2019). The "European zygomatic fracture" research project: The epidemiological results from a multicenter European collaboration. J Craniomaxillofac Surg;47(4):616-621

Cinal, H., Barin, E. Z., Çakmak, M. A., Kara, M, Yilmaz, K. & Tan, O. (2019). Novel Surgical Technique for Repair of Zygomatic Fractures: Lever Technique. Plast Surg (Oakv);27(2):135-140.

Cohn, J. E., Othman, S., Bosco, S., Shokri, T., Evarts, M., Papajohn, P. & Zwillenberg, S. (2020). Management of Isolated Zygomatic Arch Fractures and a Review of External Fixation Techniques. Craniomaxillofac Trauma Reconstr; 13(1):38-44.

Ellis III, E. & Kittidumkerng, W (1996). Analysis of treatment for isolated zygomatic maxillary complex fractures. J Oral Maxillofac Surg; 54:386-400.

Fonseca, R. J. (2000). Oral and maxillofacial surgery. Saunders.

Giran, G., Paré, A., Croisé, B., Koudougou, C., Mercier, J. M., Laure, B., Corre, P. & Bertin, H (2019). Radiographic evaluation of percutaneous transfacial wiring versus open internal fixation for surgical treatment of unstable zygomatic bone fractures. PLoS One; 15;14(8):e0220913.

Hindin, D. I., Muetterties, C. E., Mehta, C., Boukovalas, S., Lee, J., & Bradley, J. P. (2017). Treatment of isolated zygomatic arch fracture: improved outcomes with external splinting. Plastic Reconstr Surg;139(5):1162e–1171e

Jardim, E. C. G., Faverani, L. P., Ferreira, G. R., Nogueira, L. M. & Garcia Júnior, I. R (2011). Tratamento conservador de fratura de arco zigomático: uma visão conservadora. Salusvita ;30(1):39-46.

Lahmiti. S., Aziz, Z., Lakouichmi, M., Hiroual, A., Bouaichi, A. & Mansouri Hattab, N. (2015). Réduction des fractures de l'arcade zygomatique par pince fixe-champ [Towel clip reduction of zygomatic arch fracture]. Rev Stomatol Chir Maxillofac Chir Orale;116(2):92-4

Litschel, R. & Suárez, G. A (2015). Management of Zygomatic Fractures: Bone and Arch. Facial Plast Surg. 2015. 31(4):368-75

Manganello, C. L. S., Silva, A. A. F. & Pacheco, D. F. S. (2003). Fraturas zigomáticas e orbitozigomáticas. Rev Bras Cir Plást. 18:24-30.

Padmanavam A. & Mishra S. Patient. (2018). Perspective in the Management of Zygomatic Fractures. Ann Maxillofac Surg; 8(2):239-246

Paulesini Junior, W., Farias, L.P., Aquati, M., Rapoporat, A. & Leporace, A. A (2008). Fratura de complexo zigomático: relato de caso. Revista de odontologia da universidade cidade de são Paulo 20:301-306.

Peron, M. F., Ferreira, G. M., Camarini, E. T., Iwaki Filho, L., Farah, G. J. & Pavan, A. J (2009). Epidemiological surveying of the fractures of the zigomatic complex in the Residence Service in Surgery and Bucomaxillofacial Traumatology of UEM in the period of 2005 to 2006. Rev Odontol UNESP; 38(1): 1-5.

Santos Júnior, P. V. (1996). Avaliação clínica comparativa entre as técnicas do gancho de Ginestet e do parafuso de carol girard para o tratamento de fratura simples (afundamento) do osso zigomático. Rev Odontol UNESP; 25(2): 319-325.

Starch-Jensen, T., Linnebjerg, L. B & Jensen, J. D. (2018). Treatment of zygomatic complex fracture with surgical or nonsurgical intervention: a retrospective study. Open Dent J. 12:377–387.

Downloads

Published

01/08/2021

How to Cite

DIÓGENES, C. C.; SILVA, M. B. da .; ALMEIDA, I. T. de .; NEVES, L. E. de M. .; SILVA, F. G. T. e .; SOUZA, A. G. .; SOUZA, R. K. B. de .; CUNHA, J. da S. .; NASCIMENTO, S. V. B. do .; LAGO, C. A. P. do . Conservative management of fractures in the zygomatic-orbitary complex: Clinical case report. Research, Society and Development, [S. l.], v. 10, n. 9, p. e51210918300, 2021. DOI: 10.33448/rsd-v10i9.18300. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18300. Acesso em: 22 nov. 2024.

Issue

Vol. 10 No. 9

Section

Health Sciences

License

Copyright (c) 2021 Chiara Cristina Diógenes; Maxsuel Bezerra da Silva; Ingrid Torres de Almeida; Lucas Emmanuell de Morais Neves; Frank Gigianne Teixeira e Silva; Amanda Galvão Souza; Roberta Karolina Borges de Souza; Jéssica da Silva Cunha; Sinval Vinícius Barbosa do Nascimento; Carlos Augusto Pereira do Lago

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.