Late Treatment of Zygomatic-Orbital Complex Fracture with a Combination of Surgical Approaches

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Published: Jun 1, 2015
DOI: https://doi.org/10.32457/ijmss.2015.006
Keywords:
Zygomatic fracture, Orbital fractures, Facial injuries

Article Details

How to Cite
Corso, P., Trento, G., Stringhini, D., da Costa, D., Rebellato, N., Scariot, R., & Klüppel, L. (2015). Late Treatment of Zygomatic-Orbital Complex Fracture with a Combination of Surgical Approaches. International Journal of Medical and Surgical Sciences, 2(1), 409–414. https://doi.org/10.32457/ijmss.2015.006
Issue
Vol. 2 No. 1 (2015): March 2015
Section
Research Article

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Late Treatment of Zygomatic-Orbital Complex Fracture with a Combination of Surgical Approaches

Main Article Content

Paola Corso
Resident of Oral and Maxillofacial Surgery at the Federal University of Parana, Curitiba/PR.
Guilherme Trento
Resident of Oral and Maxillofacial Surgery at the Federal University of Parana, Curitiba/PR.
Diego Stringhini
Resident of Oral and Maxillofacial Surgery at the Federal University of Parana, Curitiba/PR.
Delson da Costa
PhD, Professor of Oral and Maxillofacial Surgery at Federal University of Parana, Curitiba/PR.
Nelson Rebellato
PhD, Chairman of Oral and Maxillofacial Surgery at Federal University of Parana, Curitiba/PR.
Rafaela Scariot
PhD, Professor of Oral and Maxillofacial Surgery at Federal University of Parana, Curitiba/PR, Brazil.
Leandro Klüppel
PhD, Professor of Oral and Maxillofacial Surgery at Federal University of Parana, Curitiba/PR.

Abstract

Zygomatic-orbital complex fractures are common in the middle face. As a protocol, it is necessary to establish an adequate exposure of the surgical site. The best surgical approach still remains a lot of controversy. However, the bicoronal flap is a versatile surgical technique to expose the craniofacial skeleton and allow an appropriate access to reduce and fix the fractured segments, being therefore a good alternative for the treatment. The association of other surgical approaches could promote better exposure of the fractured areas, turning an invasive procedure more complete and favorable. This article aims to report a case of zygomatic-orbital complex fractures and suggest a coronal approach along with others techniques to treat this kind of trauma. The great outcomes showed a satisfactory rehabilitation, fractures stabilized, favorable function and good aesthetic.

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