Díaz FJM, Yáñez CY, Vázquez PC

Language: Spanish
References: 12
Page: 834-841
PDF size: 438.79 Kb.

ABSTRACT

A descriptive, cross-sectional and randomized study of 102 patients with fractures of the zygomatic complex, treated with semirigid osteosynthesis in the Maxillofacial Surgery Service of “Saturnino Lora Torres” Teaching Clinical Surgical Provincial Hospital was carried out in Santiago de Cuba, from January, 2005 to December, 2011, aimed at characterizing them according to demographic and therapeutic variables in the presurgical, intrasurgical and postsurgical phases. In the case material there was a prevalence of traffic accidents as causal mechanisms of the lesions (55.8%), depression of the zygomatic eminence and presence of palpable bony steps in the lower and/or lateral orbitary edge as main symptoms (92.1%, respectively), and the scleral exhibition as postsurgical complication (55.2%), among others; also, the value of the presurgical time increased the risk of sequelae and the subciliary approach was associated with a higher risk of scleral exhibition for approaching to the lower edge and/or orbitary floor. On the other hand, either enophthalmos or y pophthalmos are of difficult solution and have a significant tendency of becoming postsurgical sequelae.

REFERENCES

1. Muto T, Yahara N, Hashiba T. Reduction and fixation of zygomatic complex fractures using a simple external device. Asian J Oral Maxillofac Surg. 2010;22(4):205-7.

2. Rajkumar K, Mukhopadhyay P, Sinha R, Bandvopadhyay TK. `Y' modification of the transconjuntival a poproach for management of zygomatic complex fractures: a prospective analysis. J Maxillofac Oral Surg. 2016;15(1):45-51.

3. Aldekhayel S, Aljaaly H, Founda Neel O, Shanarah AW, Zaid WS, Gilardino M. Evolving trends in the management of orbital floor fractures. J Craniofac Surg. 2014;25(1):258-61.

4. Yamashita M, Kishibe M, Shimada K. Incidence of lower eyelid complication after a transconjuntival approach: influence of repeated incisions. J Craniofac Surg. 2014; 25(4):1183-6.

5. Rachke GF, Rieger UM, Bader RD, Schaefer O, Guentsch A, Schultze-Mosgau S. Transconjuntival versus subciliary approach for orbital fracture repair. An anthropometric evaluation of 221 cases. Clin Oral Invest.2013;17:933-42.

6. Taehee JO, Junhyung K. Anthropometric and three-dimensional computed tomographic evaluation of two-point fixation of zygomatic complex fractures. Arch Plast Surg. 2014;41:493-9.

7. Díaz Fernandez JM. Análisis de 520 fracturas cigomáticas. I parte. Rev Cubana Estomatol. 1989;26(4):302-16.

8. Manson PN, Hoffman W, Kawuamoto HK. Symposium an facial trauma inmediate and delayet fracture repair. Contemp Surg. 2010;40:33-67.

9. Ellstrom CR, Evans GR. Evidencebased medicine: zygoma fractures. Plast Reconst Surg. 2013;132(6):1649-57.

10. Czerwinski M. C-arm assisted zygoma fracture repair: a critical analysis of the First 20 cases. J Oral Maxillofac Surg. 2015;73(4):692.

11. Rosado P, de Vicente JC. Retrospective vanalysis of 314 orbital fractures. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113(2):168-71.

12. Pausch NC, Sirintawat N, Wagner R, Halama D, Dhanuthai K. Lower eyelid complications associated with transconjuntival versus subciliary approaches to orbital floor fractures. Oral Maxillofac Surg. 2016;20(1):51-5.