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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2019, Number 3

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Cir Plast 2019; 29 (3)

Complications in patients operated for reduction of naso-orbito-ethmoidal fractures according to the Manson and Markowitz classification

Hernández-Méndez JR, Felemovicius-Hermangus J, Íñigo-Arroyo F, Arceo-Martínez E, Villafranca-Andino RI

Language: Spanish
References: 36
Page: 255-261
PDF size: 247.04 Kb.


ABSTRACT

We describe the complications in patients operated for reduction of naso-orbital ethmoid fractures according to the classification of Manson and Markowitz in the Plastic and Reconstructive Surgery Service of the Dr. Manuel Gea González General Hospital. We conducted a descriptive, observational, retrospective cross-sectional study, in which we reviewed the clinical records in the database of the orthognathic division of the plastic and reconstructive surgery of the Dr. Manuel Gea González Hospital, which included patients with a diagnosis of naso-orbital ethmoid (NOE) fracture in the period from January 1, 2010 to December 31, 2018, including those subject to open reduction with internal fixation. We identified and registered 16 patients (37.2%) with sequelae after the management of this type of fracture, finding cantal dystopia (9.3%, n = 4), enophthalmos (6.9%, n = 3) and telecanthus (6.0%, n = 3). Saddle nasal deformity (2.3%, n = 1), ectropion (2.3%, n = 1) and malar paresthesia (6.9%, n = 3) were recorded. 8.8% of type I fractures had complications; type II fractures presented 72.7% of complications, mainly cantal dystopia (n = 2) and there were reports of complications in all type III fractures. We conclude that there is a higher percentage of complications in patients with more complex presentation fractures.


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